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Ovarian endometriosis and infertility: in vitro fertilization (IVF) or surgery as the first approach?

Ovarian endometriosis and infertility: in vitro fertilization (IVF) or surgery as the first approach?
IVF is commonly applied to all indications for infertility, but increasingly unexplained causes predominate (www.sart.org). Specifically, endometriosis is listed as the primary diagnosis in less than 4% of cases in the United States, primarily because laparoscopy is not performed for the basic infertility workup, as it once was (1). Unexplained cases of infertility show a high prevalence of endometriosis (2, 3). Visible endometriosis such as endometriomas present a special challenge, especially since ovarian reserve may be compromised when ovarian surgery is performed.
Source: fertstert.org

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