Archives of Gynecology and Obstetrics

, Volume 287, Issue 3, pp 473–475

Spontaneous viable birth in a case of stage III pelvic endometriosis with bilateral tubal damage following diagnostic intervention: who deserves the credit?

  • Shashank Shekhar
  • Chanderdeep Sharma
  • Kamal Singh
General Gynecology

DOI: 10.1007/s00404-012-2598-6

Cite this article as:
Shekhar, S., Sharma, C. & Singh, K. Arch Gynecol Obstet (2013) 287: 473. doi:10.1007/s00404-012-2598-6



We are reporting a case of spontaneous conception and viable birth in a woman diagnosed with stage III pelvic endometriosis and bilateral tubal blockade.


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.


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.


Advanced endometriosisInfertilityPregnancy

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Shashank Shekhar
    • 1
    • 2
  • Chanderdeep Sharma
    • 1
  • Kamal Singh
    • 1
  1. 1.Department of Obstetrics and GynecologyDr RPGMC TandaKangraIndia
  2. 2.KangraIndia