Management of Endometriosis in the Infertile Patient

E Somigliana; P Viganò; L Benaglia; A Busnelli; N Berlanda; P Vercellini

doi:10.1055/s-0036-1597125

Management of Endometriosis in the Infertile Patient

E Somigliana, P Viganò, L Benaglia, A Busnelli, N Berlanda, P Vercellini

Research output: Contribution to journal › Article › peer-review

Abstract

The management of endometriosis-related infertility remains debated. However, in recent years, the role of in vitro fertilization (IVF) has progressively grown. Reasons to explain this change include (1) the improvement of the effectiveness and safety of IVF, (2) the raised awareness of the modest effectiveness of surgery, (3) the inherent risks of surgery including in particular the damage to the ovarian reserve when ovarian endometriomas have to be removed, (4) the ineffectiveness of intrauterine insemination and the possible risks of endometriosis progression associated with the use of this technique. However, IVF is not able to overcome all the potential detrimental effects of endometriosis and can actually fail. Future efforts should aim at improving the effectiveness and safety of both surgery and IVF. Fertility preservation techniques may play a role in the future, but data are currently too scanty to support its recommendation. Copyright ©, Thieme Medical Publishers. All rights reserved.

Original language	English
Pages (from-to)	31-37
Number of pages	7
Journal	Seminars in Reproductive Medicine
Volume	35
Issue number	1
DOIs	https://doi.org/10.1055/s-0036-1597125
Publication status	Published - 2017

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title = "Management of Endometriosis in the Infertile Patient",

abstract = "The management of endometriosis-related infertility remains debated. However, in recent years, the role of in vitro fertilization (IVF) has progressively grown. Reasons to explain this change include (1) the improvement of the effectiveness and safety of IVF, (2) the raised awareness of the modest effectiveness of surgery, (3) the inherent risks of surgery including in particular the damage to the ovarian reserve when ovarian endometriomas have to be removed, (4) the ineffectiveness of intrauterine insemination and the possible risks of endometriosis progression associated with the use of this technique. However, IVF is not able to overcome all the potential detrimental effects of endometriosis and can actually fail. Future efforts should aim at improving the effectiveness and safety of both surgery and IVF. Fertility preservation techniques may play a role in the future, but data are currently too scanty to support its recommendation. Copyright {\textcopyright}, Thieme Medical Publishers. All rights reserved.",

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AU - Viganò, P

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AU - Busnelli, A

AU - Berlanda, N

AU - Vercellini, P

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