Endometriosis and infertility treatment
Excision or ablation of endometriosis plus adhesiolysis should be offered for endometriosis not involving the bowel, bladder or ureter, because this improves the chance of spontaneous pregnancy
Laparoscopic ovarian cystectomy with excision of the cyst wall, or laparoscopic drainage and ablation - should be offered to women or people with endometriomas, because this improves the chance of spontaneous pregnancy. Take into account:
- the possible impact on ovarian reserve
- that ablation and drainage may preserve ovarian reserve more than cystectomy
Discuss the benefits and risks of laparoscopic surgery as a treatment option with women or people who have deep endometriosis (including endometriosis that involves the bowel, bladder or ureter) and who are trying to conceive so they can make an informed decision on its use. Topics to discuss may include:
- possible impact of deep endometriosis on pregnancy outcomes
- whether laparoscopic surgery may alter the chance of future pregnancy
- possible impact on fertility if complications arise
- alternatives to surgery
- other fertility factors
Do not offer hormonal treatment alone or in combination with surgery to women or people with endometriosis who are trying to conceive, because it does not improve spontaneous pregnancy rates
Reference:
- NICE. Endometriosis: diagnosis and management. NICE guideline NG73. Published September 2017, last updated November 2024
Related pages
Create an account to add page annotations
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.