Fertility and endometriosis

Miguel Ángel Checa, Mireia González-Comadran, Sílvia Agramunt, Ramon Carreras

Research output: Chapter in BookChapterResearchpeer-review

Abstract

Endometriosis is associated with infertility to various degrees, depending on the location of the endometrial implant and the severity of the disease. Multiple mechanisms have been proposed to describe the deleterious effects of endometriosis on oocyte quality and ovarian reserve, tubal dysfunction, and eventual impairment in implantation. Furthermore, it is not only the symptoms of endometriosis that warrant attention but also the related infertility that must be addressed. Based on certain prognostic factors, controlled ovarian stimulation followed by intrauterine insemination would be recommended in some cases however, when the latter fails or when poor prognostic factors are present, in vitro fertilization should be offered. Ultimately, oocyte donation programs may offer the opportunity for parenthood to couples that fail to conceive after in vitro fertilization. © 2013 Nova Science Publishers, Inc. All rights reserved.
Original languageEnglish
Title of host publicationEndometriosis: A Multidisciplinary Approach
Pages257-278
Number of pages21
Publication statusPublished - 1 Dec 2013

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