Spontaneous viable birth in a case of stage III pelvic endometriosis with bilateral tubal damage following diagnostic intervention: who deserves the credit?
BACKGROUND
We are reporting a case of spontaneous conception and viable birth in a woman diagnosed with stage III pelvic endometriosis and bilateral tubal blockade.


METHODS
A 30-year-old woman was investigated for primary infertility and was diagnosed with stage III pelvic endometriosis, extensive distortion of pelvic anatomy and bilateral tubal damage on diagnostic laparoscopy and chromotubation. Patient was advised in vitro fertilization; however, she chose otherwise and conceived spontaneously, delivering a healthy baby by cesarean section at term.


CONCLUSIONS
Spontaneous conception rates amongst women with advanced endometriosis nearly approaches zero; hence, expectant management is not recommended for associated infertility. Despite being and isolated case, this report raises questions regarding the association of infertility even with advanced endometriosis and also highlights the beneficial effect pregnancy has on endometriosis.
Department of Obstetrics and Gynecology, Dr RPGMC Tanda, Kangra 176001, HP, India. longshanks28@gmail.com
Shashank
S
Shekhar
Chanderdeep
C
Sharma
Kamal
K
Singh
D000328:Adult; D004715:Endometriosis / Q000150:complications* / Q000473:pathology; D005184:Fallopian Tube Diseases / Q000150:complications* / Q000473:pathology; D005260:Female; D005306:Fertilization; D006801:Humans; D007231:Infant, Newborn; D007247:Infertility, Female / Q000209:etiology*; D010388:Pelvis; D011247:Pregnancy