Guideline for Endometriosis

Some topics covered by this guideline:

• Endometriosis Diagnosis

• Endometriosis-associated pain treatment

• Hormonal and surgical therapy for endometriosis-associated infertility

• Assisted reproductive technology (ART) and endometriosis

What are some gaps in endometriosis based on current literature?

• The effectiveness of surgical excision of stage III-IV endometriosis in comparison to direct referral to ART.

• Primary and secondary prevention of endometriosis

• The best management protocol of ovarian endometriotic cysts (3 cm or more) before proceeding with ART treatment. Need to compare three groups: direct ART, 6 month GnRH agonist treatment before ART, and ovarian cystectomy before ART.

Last Reviewed: September 21, 2023