Treatment of endometriosis when fertility is a priority: Endometriosis: Evidence review A

Endometriosis is a chronic inflammatory disease affecting up to 10% of women and is defined as the presence of endometrium-like tissue outside the uterus. Endometriosis can cause chronic pain affecting daily activities and quality of life, particularly on a cyclical basis. It can also cause heavy periods and urinary or gastrointestinal symptoms. It may also impact on fertility. Treatment can include hormonal and surgical options, but some hormonal treatments such as contraceptive pills are not suitable in women or people with endometriosis wishing to become pregnant. For women or people living with endometriosis where fertility is a priority there is a need for treatment options that improve pregnancy rates and are suitable for different sites and stages of endometriosis. The aim of this review is to determine the optimum treatment for endometriosis in women who wish to improve their fertility, including improving pregnancy and live birth rates.