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- W2029795891 abstract "Abstract Objective : To define an integrated approach to endometriosis‐associated infertility. Methods : Review of published literature with grading of evidence by quality. Results : Laparoscopy remains the investigation of choice in cases of endometriosis‐associated infertility and allows the possibility of surgical ablation at diagnosis. This improves fertility in minimal/mild disease, whereas danazol therapy has no benefit. Both in vitro fertilization (IVF) and superovulation with intrauterine insemination improve fertility in mild/minimal disease. Neither surgery nor medical treatment have been shown to improve fertility in moderate/severe disease. IVF with prolonged pituitary down‐regulation produced by long‐acting gonadotropin‐releasing hormone agonists after surgical debulking offers the best hope in such cases. Conclusions : Endometriosis‐related infertility should be treated as rapidly as possible with thorough investigation and the minimum delay between diagnosis and therapy." @default.
- W2029795891 created "2016-06-24" @default.
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- W2029795891 date "1999-02-01" @default.
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- W2029795891 title "Endometriosis and infertility: an integrated approach" @default.
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- W2029795891 doi "https://doi.org/10.1016/s0020-7292(98)00240-9" @default.
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