title: In vitro fertilization for endometriosis-associated infertility.
abstract: Endometriosis is an enigmatic disease affecting 10-15% of reproductive aged women and is encountered in 25-35% of women suffering from infertility. IVF is an effective tool to overcome endometriosis-associated infertility when expectant management or surgery fails. Direct IVF should be envisioned if the female age is greater than 38 year and infertility is long lasting. Likewise, semen characteristics or tubal status that is incompatible with natural conception mandates going straight to IVF. IVF, not only bypasses the distortion of pelvic anatomy associated with advanced stage endometriosis, but also removes gametes from a hostile peritoneal environment. In this article, we address the impact, if any, of endometriosis and endometriomason IVF outcome, whether surgical treatment of early-stage disease, endometriomas or deep infiltrating endometriosis would enhance pregnancy rates in IVF, which protocol to employ for controlled ovarian hyperstimulation for IVF and finally the impact, if any, of controlled ovarian hyperstimulation for IVF on progression of endometriosis.
authors.affiliation: Anatolia IVF & Women's Health Center, Ankara, Turkey.
authors.forename: Mehtap
authors.initials: M
authors.lastname: Polat
authors.affiliation: Anatolia IVF & Women's Health Center, Ankara, Turkey.
authors.forename: İrem
authors.initials: İ
authors.lastname: Yaralı
authors.affiliation: Anatolia IVF & Women's Health Center, Ankara, Turkey.
authors.forename: Kübra
authors.initials: K
authors.lastname: Boynukalın
authors.affiliation: Anatolia IVF & Women's Health Center, Ankara, Turkey.|Department of Obstetrics & Gynecology, School of Medicine, Hacettepe University, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Yaralı
mesh_terms: D000328:Adult; D004624:Embryo Transfer / Q000379:methods*; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D004717:Endometrium / Q000601:surgery; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods*; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D065851:Ovarian Reserve; D010062:Ovulation Induction / Q000379:methods*; D011247:Pregnancy
keywords: IVF outcome; controlled ovarian stimulation; embryo quality; endometrioma; endometriosis; oocyte quality