JLE

Médecine de la Reproduction

MENU

Assisted reproductive techniques indications and specificities in patients with endometriosis Volume 22, issue 2, Avril-Mai-Juin 2020

Authors
1 Service de gynécologie-obstétrique II et de médecine de la reproduction, Paris, France
2 CHU Cochin, hôpital universitaire Paris Centre, AP-HP, Paris, France
3 Université de Paris, faculté de santé, faculté de médecine Paris Centre, Paris, France
4 Department “Development, Reproduction and Cancer”, Institut Cochin, Inserm U1016, Paris, France
* Tirés à part

Infertility management must take into account the presence of endometriosis. Medically Assisted Procreation (MAP) should be considered earlier for patients with endometriosis. In Vitro Fertilization (IVF) with or without intra-cytoplasmic sperm injection (ICSI) is the best assisted reproductive technique for these patients. An ovarian blockage prior to starting controlled ovarian stimulation is recommended. There is no consensus about ovarian stimulation protocols. Antibiotic treatment may be proposed to patients with endometrioma during oocytes retrieval. Preliminary results suggest that a differed embryo transfer may increase pregnancy chances. MAP is generally well tolerated by these patients. Pregnancy and live birth rates are similar to those observed in patients without endometriosis. MAP has no influence on obstetrical results for patients with endometriosis compared to natural conception for these patients.