Strategies to preserve and optimize fertility for patients with endometriosis


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



Natalia Llarena, Rebecca Flyckt

Article History


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.

This article is available as full text PDF.

  • If you are a Subscriber, please log in now.

  • Article price: Eur 36,00
  • You will be granted access to the article for 72 hours and you will be able to download any format (PDF or ePUB). The article will be available in your login area under "My PayPerView". You will need to register a new account (unless you already own an account with this journal), and you will be guided through our online shop. Online purchases are paid by Credit Card through PayPal.
  • If you are not a Subscriber you may:
  • Subscribe to this journal
  • Unlimited access to all our archives, 24 hour a day, every day of the week.



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

Article usage statistics

The blue line displays unique views in the time frame indicated.
The yellow line displays unique downloads.
Views and downloads are counted only once per session.

No supplementary material is available for this article.