endometriosis and infertility treatment
Last reviewed 01/2018
Medical management (ovarian suppression) of endometriosis
- medical treatment of minimal and mild endometriosis diagnosed as the cause of infertility in women does not enhance fertility and should not be offered
Surgical ablation
- women with minimal or mild endometriosis who undergo laparoscopy should be offered surgical ablation or resection of endometriosis plus laparoscopic adhesiolysis because this improves the chance of pregnancy
- women with ovarian endometriomas should be offered laparoscopic cystectomy because this improves the chance of pregnancy
- women with moderate or severe endometriosis should be offered surgical treatment because it improves the chance of pregnancy
- post-operative medical treatment does not improve pregnancy rates in women with moderate to severe endometriosis and is not recommended
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