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

Christian Birbarah, Linda Tebache, Géraldine Brichant, Michelle Nisolle
In: ISGE Series · 2020 · pp. 83–95 · doi:10.1007/978-3-030-57866-4_9 · W3110901338
book-chapter OA: closed CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Surgery for deep endometriosis can improve pregnancy rates in infertile patients under 35 and reduce pain and improve quality of life in patients with pelvic pain.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This chapter discusses the role of surgery for deep infiltrating endometriosis (especially colorectal endometriosis) in women presenting with infertility and/or chronic pelvic pain, summarizing evidence from recent publications and guideline positions. It reports that complete removal of deep endometriosis lesions is associated with higher spontaneous and assisted pregnancy rates in selected patients under 35, with the highest rates in the first year after surgery, and that complete lesion excision is linked to pain reduction (notably dysmenorrhea) and improved quality of life, particularly in chronic pelvic pain studies. A key caveat is that while surgical benefits on quality of life are emphasized, infertility outcome improvements are not broadly recommended in ESHRE guidance, and the favorable fertility data appear linked to negative prognostic factors being present. This paper is centrally about endometriosis — it reviews surgery for deep infiltrating/deep endometriosis in infertile and pelvic pain patients.

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endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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