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The Management of Endometriosis-related Infertility

Endometriosis is a benign gynecologic disease characterized by the extrauterine finding of endometrial stroma and glands. It can by diagnosed in 10%-15% of the general population. Endometriosis may appear in multiple forms. In some women, small peritoneal lesions are seen (“gunpowder lesions”), whereas in others, large nodules are found, primarily in the pelvis. Still other women present with ovarian cysts (endometrioma, chocolate cysts), but adhesions and deeper lesions or lesions distant from the pelvis may also be found. Endometriosis is staged according to extent, laterality, and ovarian or other organ involvement.