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Strategies to preserve and optimize fertility for patients with endometriosis

Abstract

Endometriosis is commonly associated with dysmenorrhea, chronic pelvic pain, and infertility. When medical therapy fails, surgery is often recommended; unfortunately, endometriosis surgery can adversely impact fertility and ovarian reserve in women desiring future childbearing. This review will focus on mechanisms of infertility in endometriosis patients as well as strategies for optimizing fertility in endometriosis patients when surgery is indicated. In addition, fertility preserving techniques such as oocyte and ovarian tissue cryopreservation as well as issues relevant to in vitro fertilization for patients with endometriosis are discussed.

J Endometr Pelvic Pain Disord 2017; 9(2): 98 - 104

Article Type: REVIEW

DOI:10.5301/jeppd.5000278

Authors

Natalia Llarena, Rebecca Flyckt

Article History

Disclosures

Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors have any conflict of interest to declare.

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Authors

Affiliations

  •  Obstetrics, Gynecology and Women’s Health Institute, Cleveland Clinic, Cleveland, Ohio - USA
  •  Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, Cleveland, Ohio - USA

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