Beyond the surface: Does stage I-II endometriosis impact fertility? Exploring the challenges of mild disease

Authors

Begum Aydogan Mathyk, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, FL, USA. Electronic address: abegum@usf.edu.
Esra Cetin, Department of Obstetrics and Gynecology, Hurley Medical Center, Michigan State University, 1 Hurley Plaza, Flint, MI, 48503, USA.
Youssef Youssef, Division of Minimally Invasive Gynecology, Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY, 11220, USA.
Anthony N. Imudia, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, FL, USA.
Diana Encalada Soto, Division of Gynecologic Subspecialties, Department of Obstetrics and Gynecology, University of South Florida, Morsani College of Medicine, Tampa, FL, USA.
Emad Mikhail, Division of Gynecologic Subspecialties, Department of Obstetrics and Gynecology, University of South Florida, Morsani College of Medicine, Tampa, FL, USA.
Gaby Moawad, Department of Obstetrics and Gynecology, George Washington University, Washington, DC, 20037, USA; The Center for Endometriosis and Advanced Pelvic Surgery, Washington, DC, 22101, USA.

Document Type

Journal Article

Publication Date

5-9-2024

Journal

Best practice & research. Clinical obstetrics & gynaecology

DOI

10.1016/j.bpobgyn.2024.102501

Keywords

Assisted reproductive technologies (ART); Endometriosis; Infertility; Laparoscopy; Minimal/mild endometriosis; Stage I/

Abstract

Endometriosis is one of the most common gynecologic conditions that women face throughout their lives. Despite advances in technology, diagnosis and treatment of this relapsing and remitting condition is still challenging for many women. This review focuses on literature pertaining to minimal/mild (stage I/II) endometriosis and its impact on fertility. The effectiveness of medical interventions to improve infertility and obstetric outcomes in both natural and assisted reproductive technologies cycles remains debated. The recent ESHRE guidelines suggests that operative laparoscopy could be considered for rASRM stage I/II endometriosis as it improves ongoing pregnancy rates.

APA Citation

Mathyk, Begum Aydogan; Cetin, Esra; Youssef, Youssef; Imudia, Anthony N.; Encalada Soto, Diana; Mikhail, Emad; and Moawad, Gaby, "Beyond the surface: Does stage I-II endometriosis impact fertility? Exploring the challenges of mild disease" (2024). GW Authored Works. Paper 4959.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/4959

Department

Obstetrics and Gynecology