Medical management of endometriosis and infertility.
OBJECTIVE
To review the literature on the use of medical management of endometriosis and infertility.


METHODS
Literature review.


RESULTS
Endometriosis is a common finding in women with infertility, but the mechanism by which it renders a woman infertile remains unclear. Despite many years of controversy and debate, there remains a strong bias against medical treatment for endometriosis-associated infertility. A review of the current literature suggests that medical management of endometriosis may be effective in selected patients and in certain settings, including patients undergoing IVF.


CONCLUSIONS
A closer look at the question of medical management of endometriosis reveals that much remains to be learned before a final decision can be made about the use of medical therapies, such as GnRH agonists, for endometriosis and associated infertility.
Lessey
B A
BA
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics-Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
D004715:Endometriosis / Q000150:complications / Q000188:drug therapy*; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000031:analogs & derivatives; D006801:Humans; D007246:Infertility / Q000188:drug therapy* / Q000209:etiology; D012099:Reproductive Techniques
D007987:Gonadotropin-Releasing Hormone