Diagnosis and treatment recommendations for endometriosis and adenomyosis patients with fertility requirements—interpretation of domestic and international guidelines
JU Rui
ZHAI Jun
Abstract：Endometriosis and adenomyosis are common chronic gynecological diseases in women of childbearing age,with pain,infertility and pelvic masses as the main clinical manifestations in endometriosis and diverse clinical manifestations in adenomyosis.The mechanisms by which endometriosis and adenomyosis affect fertility involve multiple aspects,including reduction of ovarian reserve function,alterations to the immune system and pelvic anatomy,impairments of endometrial receptivity and surgical-related iatrogenic injuries,which negatively affect female fertility and lead to infertility.This paper provides an in-depth interpretation of the latest guidelines and expert consensuses at home and abroad according to evidence-based researches.It systematically sorts out the diagnosis and treatment strategies related to fertility in endometriosis and adenomyosis women complicated with infertility,providing comprehensive references for clinicians to gain a deep understanding of these diseases and their clinical practice.
Keywords：EndometriosisAdenomyosisOvarian reserveInfertilityAssisted reproductive technology
Publication Date：2025-11-30
Online Publishing Date：2025-12-25(First online date of this platform, not the publication date of the document)
Pages：7( 1193-1199 )