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Endometriosis related to infertility
1University Hospital Gasthuisberg, Leuven, Belgium.
Current Opinion in Obstetrics & Gynecology
|April 1, 1991
Summary
Endometriosis diagnosis and treatment should focus on disease activity, not just presence. The goal of infertility treatment is to inactivate endometriosis, not eliminate implants.
Area of Science:
- Reproductive Medicine
- Gynecology
Background:
- Endometriosis is a condition impacting female fertility.
- The diagnosis and treatment of endometriosis, particularly in relation to infertility, require careful consideration.
Purpose of the Study:
- To re-evaluate the diagnostic criteria for endometriosis, especially in cases of infertility.
- To redefine the therapeutic goals for endometriosis in infertile women.
Main Methods:
- Review of current diagnostic standards for endometriosis.
- Analysis of the relationship between endometriosis staging and fertility outcomes.
- Evaluation of treatment efficacy based on disease activity.
Main Results:
- The mere presence of endometriosis, especially in minimal or mild stages, is not sufficient to diagnose it as a cause of infertility.
- Disease activity, rather than anatomical presence, should be the primary criterion for diagnosis and treatment indication.
- Effective treatment aims to neutralize or inactivate endometriosis activity, not solely remove implants.
Conclusions:
- Diagnosis of endometriosis as a cause of infertility should be based on active disease, not just its presence.
- Therapeutic strategies for endometriosis-associated infertility must target the inactivation of the disease process.