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Review
. 2025 Oct;50(10):4960-4970.
doi: 10.1007/s00261-025-04926-8. Epub 2025 Apr 10.

Imaging of endometriosis-related infertility

Kristine S Burk  1   2 , Hina Arif-Tiwari  3 , Tanya Chawla  4 , Haatal B Dave  5 , Izabela Pires Franco  6 , Pamela Causa-Andrieu  7 , Liina Poder  8 , Luciana P Chamie  9   10
Affiliations
Review

Imaging of endometriosis-related infertility

Kristine S Burk et al. Abdom Radiol (NY). 2025 Oct.

Abstract

Endometriosis is a common cause of subfertility and infertility through myriad mechanisms. Imaging of endometriosis is critical for its diagnosis, characterization, and treatment. Understanding its imaging appearance, surgical management, and implications for assisted reproductive therapy is essential to providing the most clinically relevant and impactful reports in endometriosis patients. This manuscript will review imaging techniques used to diagnose and characterize endometriosis-related infertility. We will describe relevant imaging findings by anatomic site and review the impact of surgery and ART on its appearance.

Keywords: ART; Assisted reproductive technology; Endometriosis; Fertility; HSG; Hysterosalpingography; Infertility; MRI; Magnetic resonance imaging; Ultrasound.

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Conflict of interest statement

Declarations. Competing interests: The authors declare no competing interests.

References

    1. Taylor HS, Kotlyar AM, Flores VA. Endometriosis is a chronic systemic disease: clinical challenges and novel innovations. Lancet. 2021;397(10276):839–852. - DOI - PubMed
    1. Khan Z. Fertility-related considerations in endometriosis. Abdom Radiol (NY). 2020;45(6):1754–1761. - DOI - PubMed
    1. Holoch KJ, Lessey BA. Endometriosis and infertility. Clin Obstet Gynecol. 2010;53(2):429–38. - DOI - PubMed
    1. Van Gestel H, Bafort C, Meuleman C, Tomassetti C, Vanhie A. The prevalence of endometriosis in unexplained infertility: a systematic review. Reprod Biomed Online. 2024;49(3):103848. - DOI - PubMed
    1. Macer ML, Taylor HS. Endometriosis and infertility: a review of the pathogenesis and treatment of endometriosis-associated infertility. Obstet Gynecol Clin North Am. 2012;39(4):535– 49. https://doi.org/10.1016/j.ogc.2012.10.002 002. PMID: 23182559; PMCID: PMC3538128.

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