Endometriosis and infertility
This paper questions the causal relationship between pelvic endometriosis and infertility, considering the increasing diagnosis frequency and possibility of coincidental findings.
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This paper examines whether endometriosis itself is causally related to infertility when there is no obvious mechanical damage, noting that laparoscopy has increasingly identified endometriosis among infertile women and that treatment has been medical or surgical. The authors argue that pelvic endometriosis may be more common than previously thought, raising the possibility that its detection in infertile women could be coincidental rather than causative. A major caveat is that distinguishing correlation from causation is difficult given the limitations of diagnosis and the overlap between endometriosis and other infertility factors, so the causal question remains controversial. This paper is centrally about endometriosis — it specifically discusses endometriosis in the context of infertility and the evidence for or against a causal relationship.
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References (90)
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Cited by (14)
- Endometriosis: an overview of Cochrane Reviews 2012
- Differences in time to natural conception between women with unexplained infertility and infertile women with minor endometriosis 2003
- Pituitary-ovarian dysfunction and endometriosis 2000
- Gonadotrophin-releasing hormone analogues for pain associated with endometriosis 1999
- Gonadotrophin-releasing hormone analogues for pain associated with endometriosis 1999
- Intraepithelial leukocytes in endometriosis and adenomyosis: comparison of eutopic and ectopic endometrium with normal endometrium 1998
- Immunoblot Detection of Decreased Antibodies to Haptoglobin-Like Protein in the Serum of Infertile Women with or without Endometriosis1 1997
- New aspects of pathogenesis of endometriosis 1996
- Peritoneal fluid from women with moderate or severe endometriosis inhibits sperm motility: the role of seminal fluid components 1996
- Mid to late luteal phase steroids in minimal stage endometriosis and unexplained infertility 1994
- 9 Endometriosis: Medical therapy 1993
- Endometriosis: still an enigma 1993
- Endometriosis. 1993
- The aetiology and pathogenesis of endometriosis 1992
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