Revista Ibero Research
Published October 6, 2026 | Version v1
Journal article Open

Infertilidad femenina asociada a endometriosis: impacto del tratamiento médico, quirúrgico y reproducción asistida sobre las tasas de embarazo y nacido vivo

Authors/Creators

  • 1. ROR icon Universidad Internacional del Ecuador

Description

La infertilidad asociada a endometriosis requiere distinguir control sintomático y beneficio reproductivo. Se realizó una revisión narrativa crítica de guías, ensayos y síntesis sobre tratamiento médico, cirugía y reproducción asistida. Se diferenciaron embarazo clínico, embarazo evolutivo y nacido vivo, conservando denominadores y fenotipos. La cirugía puede favorecer embarazo en enfermedad mínima o leve, pero la evidencia no respalda su uso sistemático antes de FIV para aumentar nacido vivo; la reserva ovárica requiere especial consideración. Se propone una matriz de decisión compartida basada en objetivos, pronóstico y reevaluación. Se concluye que el tratamiento debe preservar tiempo reproductivo y función ovárica, con expectativas informadas y atención individualizada.

Abstract (English)

Endometriosis-associated infertility requires distinguishing symptom control from reproductive benefit. A critical narrative review examined guidelines, trials, and evidence syntheses on medical treatment, surgery, and assisted reproduction. Clinical pregnancy, ongoing pregnancy, and live birth were differentiated, preserving denominators and phenotypes. Surgery may improve pregnancy outcomes in minimal or mild disease, but evidence does not support routine surgery before IVF to increase live birth; ovarian reserve warrants particular consideration. A shared decision matrix based on goals, prognosis, and reassessment is proposed. Treatment should preserve reproductive time and ovarian function through informed expectations and individualized care.

Abstract (Portuguese)

A infertilidade associada à endometriose exige distinguir controle dos sintomas e benefício reprodutivo. Realizou-se uma revisão narrativa crítica de diretrizes, ensaios e sínteses sobre tratamento médico, cirurgia e reprodução assistida. Diferenciaram-se gravidez clínica, gravidez evolutiva e nascido vivo, preservando denominadores e fenótipos. A cirurgia pode favorecer gravidez na doença mínima ou leve, mas a evidência não apoia seu uso sistemático antes da FIV para aumentar nascidos vivos; a reserva ovariana requer atenção especial. Propõe-se uma matriz de decisão compartilhada baseada em objetivos, prognóstico e reavaliação. O tratamento deve preservar tempo reprodutivo e função ovariana, com expectativas informadas e cuidado individualizado.

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Additional details

Additional titles

Translated title (English)
Female infertility associated with endometriosis: impact of medical, surgical and assisted reproduction treatment on pregnancy and live birth rates
Translated title (Portuguese)
Infertilidade feminina associada à endometriose: impacto do tratamento médico, cirúrgico e de reprodução assistida nas taxas de gravidez e de nascidos vivos.

Software

Repository URL
https://revistaiberoresearch.org/index.php/RevistaIberoResearch/article/view/112

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