Abstract
Aim: Endometriosis is an important cause of infertility. The disease is both diagnosed and treated surgically. Its pathogenesis is not entirely known; however, retrograde menstrual flow and a pro-inflammatory state in the peritoneum are thought to support its development. Many studies have been done to help better assess the effects of the disease on fertility rates and how surgical removal of disease can improve these fertility rates. The aim of this study was to review the current literature on the effects of endometriosis on infertility and the benefit of surgical treatment for these patients.
Methods: Review of recent publications through Pubmed and the Cochrane data base.
Results: The effects of minimal and mild disease on infertility are debatable, and studies have shown inconsistent results. Surgery through laparoscopic removal has been shown to be beneficial for women with moderate and severe endometriosis; however, those with severe disease may not benefit as much. Removal of ovarian endometriomas by an excisional process appears to be superior to fenestration and coagulation for spontaneous pregnancy outcomes.
Conclusion: Laparoscopic removal of endometriosis is an important treatment option for patients with endometriosis-related infertility. Questions remain, however, and further research should be done on the effects of Stage I/II disease and bowel endometriosis on infertility.
Keywords: Infertility, endometriosis, laparoscopy, ovarian endometrioma
Call for Papers in Thematic Issues
RARE CASES IN GYNECOLOGY-OBSTETRICS
With the development of diagnostic and therapeutic techniques (such as ART techniques) and the immersion of new pathologies (such as COVID19), we are witnessing an increase in the incidence of pathologies that were previously described as rare or exceptional. the practitioner sometimes confronts difficult situations in these cases in diagnostic ...read more
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