Rosa Maria Neme, Sérgio dos Passos Ramos, Eliane Alves dos Santos, Paulo Tudech Salgueiro, Vicente G Abdelmassih, Roger Abdelmassih
JBRA Assist. Reprod. 2006; 10 (1):29-34
Received December 23, 2005
Accepted January 19, 2006
Abstract
The hypothesis that endometriosis causes infertility or a decrease in fecundity remains controversial. Whereas there is a reasonable body of evidence to demonstrate an association between endometriosis and infertility, a cause and effect relationship has not been established. There are few infertility problems requiring greater clinical acumen than those needed to plan therapy for an infertile woman with endometriosis and therefore management of endometriosis in fertility patients remains empiric. Adverse effects on every reproductive component have been reported. How to counsel couples regarding treatment and the effects of endometriosis on fertility is still uncertain.
