Endometriosis-related infertility: assisted reproductive technology has no adverse impact on pain or quality-of-life scores
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Objective To evaluate the impact of assisted reproduction technology (ART) on painful symptoms and quality of life (QoL) in women who have endometriosis as compared with disease-free women.Design Prospective controlled, observational cohort study.Setting University hospital.Patient(s) Two hundred and sixty-four matched-pairs of endometriosis and disease-free women undergoing ART.Intervention(s) Assessment of pain evolution using visual analogue scale (VAS) during ART; QoL assessment with the Fertility Quality of Life (FertiQoL) tool.Main outcome measure(s) VAS pain intensities relative to dysmenorrhea, dyspareunia, noncyclic chronic pelvic pain (NCCPP), gastrointestinal pain, lower urinary tract pain; trends for VAS change between postretrieval and baseline evaluation; FertiQoL score; and statistical analyses conducted using univariate and adjusted multiple linear regression models.Result(s) After excluding canceled cycles and patients lost to follow-up observation, 102 women with endometriosis and 104 disease-free women were retained for the study. The trends for VAS change between the postretrieval and baseline evaluations in the women with endometriosis compared with the disease-free women revealed a statistically significant pain decrease for dysmenorrhea (-1.35 ± 3.23 and 0.61 ± 4.00) and dyspareunia (-1.19 ± 2.58 and 0.14 ± 2.06). For NCCPP, gastrointestinal symptoms, and lower urinary tract symptoms, there were no statistically significant differences between the groups. After multiple linear regression, no worsening of pain was observed in the endometriosis group as compared with disease-free group. In addition subgroup analysis according to endometriosis phenotype failed to show any increase of pain. The quality of life in the endometriosis group was comparable to that of the disease-free group.Conclusion(s) Assisted reproduction technology did not exacerbate the symptoms of endometriosis or negatively impact QoL in women with endometriosis as compared with disease-free women.
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In endometriosis, ovarian stimulation with an antagonist protocol and ovulation triggering with a GnRH agonist did not increase endometriosis-related symptoms.
“In endometriosis, we have reported that ovarian stimulation for ART using an antagonist protocol and triggering of the final step of ovulation with a GnRH-a did not increase endometriosis-related symptoms (56,57).”
From Endometrial receptivity in adenomyosis and/or endometriosis (2023) · cites this paper as [57]
Embryo transfers conducted in estradiol and progesterone cycles may have a beneficial effect on endometrial receptivity.
“Indeed, embryo transfers conducted in E 2 and progesterone cycles may have a beneficial effect on endometrial receptivity.”
From Endometrial receptivity in adenomyosis and/or endometriosis (2023) · cites this paper as [57]
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Interventions and Practice Implications for the Management of Endometriosis
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Prise en charge en FIV en cas d’endométriose, RPC Endométriose CNGOF-HAS
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Chapter 11. Endometriosis-related complications in women undergoing in-vitro fertilization
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Traitement conservateur des endométriomes chez les patientes prises en charge en FIV
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Pain assessment in women with or without endometriosis during the IVF process: a prospective study
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How many embryos should be transferred? A validated score to predict ongoing implantation rate
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Quality of Life and Mental Health of Infertile Women Affected by Endometriosis: A Narrative Review
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Anxiety and depression in women with endometriosis: a comparative study across fertility contexts
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Pain after oocyte retrieval in women with endometriosis undergoing fertility preservation or IVF
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Endometrioma and reproductive issues: a well-informed patient may be the driver for change
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Reproductive outcomes following fertility preservation in women with endometriosis
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Fécondation in vitro et endométriose, don d’ovocytes et cryopréservation ovocytaire
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Stimulation protocols for Severe Endometriosis- is there any difference?
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ART and Endometriosis: Problems and Solutions
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Endometriosis and assisted reproduction
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Infertilité et endométriose digestive : faut-il opérer ?
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Infertilité et endométriose : quelle prise en charge ?
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Impact de l’endométriose sur la fertilité et la grossesse
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Fertility preservation in endometriosis: current strategies and outcomes
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IVF in endometriosis: emerging evidence of exacerbation of pelvic pain and potential predictors
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- Authors
- Santulli, P., Bourdon, M., Presse, M., Gayet, V., Marcellin, L., Prunet, C., de Ziegler, D., & Chapron, C.
- Affiliations
- Sorbonne Paris Cité (FR)
- Inserm (FR)
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2016-04
- Volume
- 105
- Issue
- 4
- Pages
- 978-987.e4
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W2211503579
- Cited by
- 82
- References
- 49
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 8 · 2023: 6 · 2022: 4 · 2021: 8 · 2020: 8 · 2019: 7 · 2018: 15 · 2017: 12 · 2016: 1
- FWCI
- 10.66
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- endometriosis, infertility, assisted reproduction, pain, quality of life, dysmenorrhea, dyspareunia, gastrointestinal pain, lower urinary tract symptoms, endometriosis phenotypes, FertiQoL
- MeSH terms
- Adult, Endometriosis, Female, Follow-Up Studies, Humans, Infertility, Female, Pain Measurement, Prospective Studies, Quality of Life, Cohort Studies, Pelvic Pain, Reproductive Techniques, Assisted
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