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Review
. 2011 Dec;54(4):720-6.
doi: 10.1097/GRF.0b013e3182353e06.

Managing endometriosis-associated infertility

Suneeta Senapati  1 , Kurt Barnhart
Affiliations
Review

Managing endometriosis-associated infertility

Suneeta Senapati et al. Clin Obstet Gynecol. 2011 Dec.

Abstract

Endometriosis is associated with infertility; however, the etiology of this association is unclear, thus complicating management. Several mechanisms of pathogenesis have been proposed; however, no one theory has been implicated. Medical therapy can be helpful in managing symptoms, but does not improve pregnancy rates. The role of surgical treatment remains controversial. There is little data regarding ovulation induction treatments for endometriosis only, whereas superovulation with intrauterine insemination has shown modest improvement in pregnancy rates in women who may have endometriosis. The most effective treatment for endometriosis-associated infertility is in vitro fertilization. Recent focus on proteomics and genetics of the disease may aid in optimizing treatment options.

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Figures

Figure 1
Figure 1
Approach to the patient with Endometriosis interested in conception
See this image and copyright information in PMC

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