Impact of endometriosis on female fertility and the management options for endometriosis-related infertility in reproductive age women: a scoping review with recent evidences

Abstract Background Endometriosis is a chronic inflammatory condition with varied presentation, which ultimately leads to pelvic pain and infertility. It psychological economic burden the women their families. Main body of abstract The literature search was performed on following databases: MEDLINE, Google Scholar, Scopus, EMBASE, Global health, COCHRANE library, Web Science. We searched entirety those databases for studies published until July 2020 in English language. conducted using combination Medical Subject heading (MeSH) any relevant keywords “endometriosis related infertility management” different orders. modalities treatment these patients are heterogeneous inconclusive among experts. In this article, we tried review look evidences management caused by endometriosis. stage I/II endometriosis, laparoscopic ablation improvement LBR. III/IV, operative laparoscopy better than expectant management, increase spontaneous pregnancy rates. Repeat surgery III/IV rarely increases fecundability as it will decrease ovarian reserve, IVF be patients. beneficial impact GnRH agonist down-regulation ART undisputed. Dienogest an upcoming new alternative agonist, side effect profile. + ICSI may compared alone. Younger planned due or other reason should given option fertility preservation. Short conclusion endometriosis-related infertility, clinician individualize patient-centred, multi-modal, interdisciplinary integrated approach.