What Is the Place of Surgery of Deep Endometriosis in Infertile and Pelvic Pain Patients?

Colorectal endometriosis represents the most severe form of endometriosis and affects up to 12% of women and is defined by the infiltration of the muscular layer of the bowel. Little is known about its pathophysiology, especially in infertility and its management is still in debate. The latest ESHRE recommendations emphasize on the benefits of surgery of deep infiltrating endometriosis (DIE) on the quality of life but do not recommend surgery for improving fertility outcomes. New data have been published in the literature and demonstrated that complete removal of DIE lesions in patients with negative factors (failed IVF/ICSI cycles, low AMH levels, and adenomyosis) is associated with a high rate of spontaneous and assisted pregnancies in patients less than 35 years. The pregnancy rates are the highest in the first year after surgery. In cases of chronic pelvic pain, many studies have found that complete removal of lesions is associated with pain reduction (especially dysmenorrhea) and higher quality of life. In conclusion, infertile and pelvic pain patients could benefit from surgery if performed by skilled surgeons. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2021 International Society of Gynecological Endocrinology About this chapter Cite this chapter Birbarah, C., Tebache, L., Brichant, G., Nisolle, M. (2021). What Is the Place of Surgery of Deep Endometriosis in Infertile and Pelvic Pain Patients?. In: Genazzani, A.R., Nisolle, M., Petraglia, F., Taylor, R.N. (eds) Endometriosis Pathogenesis, Clinical Impact and Management. ISGE Series. Springer, Cham. https://doi.org/10.1007/978-3-030-57866-4_9 Download citation DOI: https://doi.org/10.1007/978-3-030-57866-4_9 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-57865-7 Online ISBN: 978-3-030-57866-4 eBook Packages: MedicineMedicine (R0)