Endometriosis and Fertility: Where Do We Draw the Line?

Endometriosis affects millions of women around the world, yet it remains a complex and often misunderstood condition, with limited funding available for research. Although much about this enigmatic disease is still unknown, emerging data continue to shed light on its mechanisms, leading to improved understanding and better management options for patients. While advances have been made in understanding the symptoms and pathophysiology of endometriosis, one critical area remains underexplored: its impact on fertility. It is now well established that endometriosis can significantly impair fertility, posing additional challenges for women trying to conceive. This study explores current theories on how endometriosis affects reproductive function and highlights the latest research on both medical and surgical approaches to managing infertility in these patients. It will also examine the implications of endometriosis on natural conception as well as outcomes related to assisted reproductive technologies.

endometriosis IVF - endometrioma infertility - endometriosis infertility - deep infiltrating endometriosis infertility - pregnancyPublication History Article published online: 25 August 2025 © 2025. Thieme. All rights reserved. Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USA -

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