Evidence based management of patients with endometriosis undergoing assisted conception: British fertility society policy and practice recommendations

Karolina Skorupskaite, Madeleine F. Hardy, Madeleine Hardy, Harish Bhandari, Ephia Yasmin, Wael Saab, Srividya Seshadri
Human fertility (Cambridge, England) · 2024 · vol. 27(1) , pp. 2288634 · doi:10.1080/14647273.2023.2288634 · PMID:38226584 · W4390911546
article OA: diamond CC0 ⤵ 10 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This guideline reviews evidence on how pelvic endometriosis and endometriomas affect assisted reproduction outcomes and provides recommendations for managing these patients before and during fertility treatments.

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Abstract

Endometriosis is a chronic inflammatory condition in women of reproductive age, which can lead to infertility and pelvic pain. Endometriosis associated infertility is multifactorial in nature adversely affecting each step of the natural reproductive physiology and thereby processes and outcomes of Assisted Reproductive Technology (ART) cycles. These outcomes are further complicated by the subtype of endometriosis, being peritoneal, deep infiltrating and ovarian, which bear negative effects on ovarian reserve, response to stimulation, accessibility for oocyte retrieval, intraoperative safety and endometrial receptivity. There is still a lack of clear guidance about the role of surgery for ovarian endometriosis/endometriomas. This guideline evaluates the evidence of the impact of pelvic endometriosis and endometriomas on the outcome of ART and provides recommendations for management options before and during ART including intra-uterine insemination. Recommendations are made based on the current evidence for the management of patients with endometriosis across each step of ART with the primary aim of improving ART outcomes.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Infertility, Female Infertility, Female Infertility, Female Infertility, Female Female Female Fertility Fertility Fertilization Fertilization Humans Humans Reproductive Techniques, Assisted Reproductive Techniques, Assisted Reproductive Techniques, Assisted

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (100)

Cited by (10)

Source provenance

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License: CC0 · commercial use OK