Archives of Gynecology and Obstetrics

, Volume 287, Issue 3, pp 473–475 | Cite as

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



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 endometriosis Infertility Pregnancy 


Conflict of interest

I hereby state that we have no conflict of interests to declare.


  1. 1.
    Holoch KJ, Lessey BA (2010) Endometriosis and infertility. Clin Obstet Gynecol 53:429–438PubMedCrossRefGoogle Scholar
  2. 2.
    Endometriosis and Infertility: A Committee Opinion (2012) The Practice Committee of the American Society for Reproductive Medicine Birmingham, Alabama. Fertil Steril 98(3):591–598Google Scholar
  3. 3.
    Olive DL, Stohs GF, Metzger DA, Franklin RR (1985) Expectant management and hydrotubations in the treatment of endometriosis associated infertility. Fertil Steril 44:35–41PubMedGoogle Scholar
  4. 4.
    Missmer SA, Hankinson SE, Spiegelman D, Barbieri RL, Marshall LM, Hunter DJ (2004) Incidence of laparoscopically confirmed endometriosis by demographic, anthropometric and lifestyle factors. Am J Epidemiol 160:784–796PubMedCrossRefGoogle Scholar
  5. 5.
    The Practice Committee of the American Society for Reproductive Medicine (2004) Endometriosis and infertility. Fertil Steril 81:1441–1446CrossRefGoogle Scholar
  6. 6.
    Marcoux S, Maheux R, Berube S (1997) Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian Collaborative Group on Endometriosis. N Engl J Med 337:217–222PubMedCrossRefGoogle Scholar
  7. 7.
    Parazzini F (1999) Ablation of lesions or no treatment in minimal-mild endometriosis in infertile women: a randomized trial. Gruppo Italiano per lo Studio dell Endometriosis. Hum Reprod 14:1332–1334PubMedCrossRefGoogle Scholar

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

Personalised recommendations