title: Infertility surgery is dead: only the obituary remains?
abstract: Despite the multiple advantages of assisted reproductive technology compared with surgery, there remain several diagnoses for which surgery is still widely performed: distal tubal occlusion, regret of permanent sterilization, and endometriosis. Assisted reproductive technology is superior to surgery and should be offered as first-line treatment.
authors.affiliation: Combined Federal Fellowship in Reproductive Endocrinology and Infertility at National Institutes of Health, Walter Reed Army Medical Center, National Naval Medical Center, and Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
authors.forename: Eve C
authors.initials: EC
authors.lastname: Feinberg
authors.forename: Eric D
authors.initials: ED
authors.lastname: Levens
authors.forename: Alan H
authors.initials: AH
authors.lastname: DeCherney
mesh_terms: D004715:Endometriosis / Q000150:complications* / Q000601:surgery / Q000628:therapy; D005184:Fallopian Tube Diseases / Q000150:complications* / Q000601:surgery / Q000628:therapy; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D018873:Pregnancy Rate; D027724:Reproductive Techniques, Assisted / Q000009:adverse effects; D013245:Sterilization, Reproductive; D016896:Treatment Outcome