Endometriosis and infertility: an enigma
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⤵ 10 in-corpus citations
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This review explores the complex and often enigmatic relationship between endometriosis and infertility, discussing potential pathophysiological mechanisms and diagnostic challenges.
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Abstract
In our efforts to overcome infertility and subjective complaints in young women with endometriosis, we have performed conservative surgical procedures upon 142 women 30 years of age or less. In these women, multiple endometriomata were resected from the pelvic peritoneum, one or both ovaries, the large and small bowel, and the appendix. In addition, uterine and ovarian suspension, bowel resection, appendectomy, myomectomy, and presacral neurectomy (PSN) were performed when indicated. Conception occurred in 70% of the women wishing to conceive; the highest rate was found among those who had developed endometriosis after a previous conception. Ovarian involvement seemed to reduce the conception rate by 10%. Uterine suspension and PSN did not affect conception but did provide a symptomatic relief. We conclude that early examination for endometriosis and aggressive surgical management is indicated in young women with demonstrable disease.
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Cited by (10)
- Endometriosis of the Appendix: When to Predict and How to Manage-A Multivariate Analysis of 1935 Endometriosis Cases 2019
- Endometriosis and the appendix: a case series and comprehensive review of the literature 2006
- Fertility after laparoscopic colorectal resection for endometriosis: preliminary results 2005
- Endometriose 1998
- Classification of endometriosis 1989
- Expectant treatment versus conservative treatment in the management of mild endometriosis 1986
- Tampon use in women with endometriosis 1985
- Fertility prognosis after surgical treatment of pelvic endometriosis 1983
- The surgical treatment of endometriosis 1978
- Surgical Induction of Endometriosis 1978
Source provenance
- europepmc
- last seen: 2026-10-13T06:10:10.580696+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:59:31.578486+00:00
License: CC0
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