Is fertility preservation a necessity before endometriosis surgical treatment?

D. Neculcea, C. Gică, D. Iordăchescu, B.A. Cimpoca, R. Botezatu, G. Peltecu, A.M. Panaitescu, N. Gică

Rezumat: Endometriosis is a common cause of infertility. Personalized counselling regarding fertility preservation should be offered particularly to young women with high risk of recurrence of endometriosis or to those with bilateral endometriomas. The surgical treatment of ovarian endometriosis consists in cystectomy. The methods used for preserving fertility in women with endometriosis are oocyte or embryo cryopreservation. In this study, we reviewed the literature in order to investigate if fertility preservation is necessary before the surgical treatment of endometriomas. We concluded that more clinical data and economic analyses are needed in order to recommend fertility preservation as a routine procedure for all women before undergoing surgical treatment for endometriosis.
Cuvinte cheie: fertility preservation, endometriosis, oocyte cryopreservation, embryo cryopreservation.