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Human Reproduction Update, Vol.8, No.1 pp.89-94, 2002
© European Society of Human Reproduction and Embryology 2002; all rights reserved

The efficacy of medical and surgical treatment of endometriosis-associated infertility: arguments in favour of a medico-surgical aproach

Jacques Donnez1, Frederic Chantraine1 and Michelle Nisolle1

1 Department of Gynaecology, Université Catholique de Louvain, 1200 Brussels, Belgium

To whom correspondence should be addressed at: Jacques Donnez, Department of Gynaecology, Université Catholique de Louvain, Cliniques Universitaires St Luc, Avenue Hippocrate, 10, B-1200 Brussels, Belgium. e-mail: donnez{at}gyne.ucl.ac.be

Abstract

This review discusses the efficacy of a combined, medical (GnRH agonist) and surgical, therapy in endometriosis-associated infertility. Because of the limited information currently available on the activity of lesions in minimal and mild endometriosis, any absolute statement is inappropriate at this time, although some arguments exist in favour of treating endometriosis at laparoscopy. In moderate and severe endometriosis, this review provides arguments in favour of a medico-surgical approach and discusses the possibility of combining medical and surgical therapy.

Key words: endometriosis / GnRH-agonist / laparoscopy / surgery


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