Pregnancy rates with endometriosis-associated infertility may be impro
ved by laparoscopic surgery or laparotomy for moderate to severe disea
se. Surgery for minimal to mild disease does not increase pregnancy ra
tes. Medical treatment has not been shown to increase fecundity for an
y stage of the disease. Pregnancy rates with assisted reproductive tec
hnology for endometriosis appear to be comparable with those for tubal
disease that are also treated with assisted reproductive technology.
Medical and surgical treatments for pelvic pain with endometriosis are
both effective, but surgery avoids ?he side-effects associated with d
regs and may result in a lower recurrence rate.