Skip to main content

Part of the book series: Contemporary Endocrinology ((COE))

  • 553 Accesses


Endometriosis can be found in up to 80% of patients with pelvic pain and infertility. Whether endometriosis reduces a woman’s fecundability remains controversial. In asymptomatic infertile patients with patent fallopian tubes on imaging, there is no indication for diagnostic laparoscopy. It would require ~40 surgeries to result in one additional pregnancy. In patients with pelvic pain, adnexal masses consistent with endometriosis or tubal occlusion, operative laparoscopy is indicated and has been shown to result in improved fecundability. Appropriate evaluation and selection of patients suspected of endometriosis for either surgery or conventional treatments is critical for patient outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions


  1. Missmer SA, Hankinson SE, Spiegelman D, Barbieri RL, Marshall LM, Hunter DJ. Incidence of laparoscopically confirmed endometriosis by demographic, anthropometric, and lifestyle factors. Am J Epidemiol. 2004;160(8):784–96.

    Article  Google Scholar 

  2. The Practice Committee of the American Society of Reproductive Medicine. Endometriosis and infertility: a committee opinion. Fertil Steril. 2012;98(3):591–8.

    Article  Google Scholar 

  3. Marcoux S, Maheux R, Berube S. Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian Collaborative Group on Endometriosis. N Engl J Med. 1997;337(4):217–22.

    Article  CAS  Google Scholar 

  4. Parazzini F. Ablation of lesions or no treatment in minimal-mild endometriosis in infertile women: a randomized trial. Gruppo Italiano per lo Studio dell’Endometriosi. Hum Reprod. 1999;14(5):1332–4.

    Article  CAS  Google Scholar 

  5. Schenken RS. Modern concepts of endometriosis. Classification and its consequences for therapy. J Reprod Med. 1998;43(3 Suppl):269–75.

    CAS  Google Scholar 

  6. Garcia-Velasco JA, Somigliana E. Management of endometriomas in women requiring IVF: to touch or not to touch. Hum Reprod. 2009;24(3):496–501.

    Article  Google Scholar 

  7. Sallam HN, Garcia-Velasco JA, Dias S, Arici A. Long-term pituitary down-regulation before in vitro fertilization (IVF) for women with endometriosis. Cochrane Database Syst Rev. 2006;(1):CD004635.

    Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Glenn Schattman .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Schattman, G. (2023). Endometriosis and Infertility. In: Chung, P.H., Rosenwaks, Z. (eds) Problem-Focused Reproductive Endocrinology and Infertility. Contemporary Endocrinology. Springer, Cham.

Download citation

  • DOI:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-19442-9

  • Online ISBN: 978-3-031-19443-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics