Fabré V, Camus M, Devroey P
AZ-VUB, Centre for reproductive medicine, Bruxelles.
Rev Prat. 1999 Feb 1;49(3):279-81.
The relation between endometriosis and sterility is still unclear, especially in minimal and mild forms. When the decision to treat endometriosis is made, the question about how to treat raises. An hormonal treatment of minimal or mild endometriosis seems not to improve fertility. However, laparoscopic destruction of all visible peritoneal lesions seems to be usefull. The different result of these two treatments is unexplained at this time. A complementary hormonal treatment after laparotomy for severe endometriosis does not improve fertility.
子宫内膜异位症与不孕之间的关系仍不明确，尤其是在轻微和轻度形式的病例中。当决定治疗子宫内膜异位症时，如何治疗的问题就出现了。对轻微或轻度子宫内膜异位症进行激素治疗似乎并不能提高生育能力。然而，腹腔镜下破坏所有可见的腹膜病变似乎是有效的。目前这两种治疗方法产生不同结果的原因尚无法解释。对严重子宫内膜异位症进行剖腹手术后进行辅助激素治疗并不能提高生育能力。
