• Milan Terzic, Gulzhanat Aimagambetova, Simone Garzon, Gauri Bapayeva, Talshyn Ukybassova, Sanja Terzic, Melanie Norton, and Antonio S Laganà.
• Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan - milan.terzic@nu.edu.kz.
• Minerva Med. 2020 Feb 1; 111 (1): 50-61.

AbstractEndometriosis is a chronic benign gynecological disease with symptoms that can severely impact quality of life and well-being. Women affected by endometriotic ovarian cyst could have associated infertility problems. Infertility affects 30% to 50% of women with endometriosis. Women with endometriosis are at risk of decreased ovarian reserve, due to the disease pathophysiologic mechanisms. Generally, infertility management include surgical procedure (usually with minimally invasive approach) and ovulation induction with intrauterine insemination or in vitro fertilization. Fertility preservation technologies also include oocyte or embryo freezing and ovarian tissue cryopreservation. Approach to patients with endometriotic cysts still remains controversial, and a multidisciplinary approach is a key factor to achieve the best outcome with appropriate patient counselling. Such management by a multidisciplinary team is a key factor in achieving the successful outcome.

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