The Impact of Laparoscopic Surgery on Fertility Outcomes in Patients with Minimal/Mild Endometriosis
Open accessPreprint — published as 10.3390/jcm13164817 · Paper page
Abstract
Minimal/mild endometriosis (MME) is independently associated with reduced fecundity rates. In this review article, we discuss the role of laparoscopic surgery in enhancing fertility outcomes of patients with MME. Laparoscopic management of MME enhances fecundity and increases chances of spontaneous conception in appropriately selected cases. However, laparoscopy cannot be routinely recommended in asymptomatic patients with the sole purpose of diagnosing and treating potentially present MME. Equally, based on existing evidence, laparoscopic management of MME cannot be routinely recommended prior to in-vitro fertilisation (IVF) attempts, as robust evidence of benefit is lacking. As an overlap between unexplained infertility and MME cases likely exists, the development of reliable, widely available, non-invasive tests for the diagnosis of MME may revolutionize the management of cases currently classified as unexplained infertility. In a disease as diverse as endometriosis, management decisions should be based on a multitude of factors. Future studies should focus on reporting outcomes of interventions for MME on fertility and obstetric outcomes, clearly differentiating between disease stages and phenotypes.
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Qiao, X., Wu, L., Liu, D., Pei, T., & Huang, W. (2022) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.14326 · Cited by 24 · see citing works
Effects of endometriosis on assisted reproductive technology: gone with the wind
Pirtea, P., de Ziegler, D., & Ayoubi, J. M. (2021) · Fertility and Sterility · doi:10.1016/j.fertnstert.2020.08.1431 · Cited by 23 · see citing works
Sõritsa, D., Saare, M., Laisk, T., Peters, M., Sõritsa, A., Matt, K., Karro, H., & Salumets, A. (2014) · Gynecologic and Obstetric Investigation · doi:10.1159/000365329 · Cited by 21 · see citing works
Gp, P., Adamson, G. D., & Ej, L. (1993) · PubMed · Cited by 20 · see citing works
Saliva-based microRNA diagnostic signature for the superficial peritoneal endometriosis phenotype
Bendifallah, S., Dabi, Y., Suisse, S., Ilic, J., Delbos, L., Poilblanc, M., Descamps, P., Golfier, F., Jornéa, L., Bouteiller, D., et al. (2024) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2024.04.020 · Cited by 19 · see citing works
Ekine, A. A., Fülöp, I., István, T., Árpád, R., Jeges, S., Koppán, Á., & Koppán, M. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9020507 · Cited by 16 · see citing works
Fecundity of infertile women with minimal or mild endometriosis
Milingos, S., Mavrommatis, C. G., Elsheikh, A., Kallipolitis, G., Loutradis, D., Diakomanolis, E., & Michalas, S. (2002) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-001-0262-7 · Cited by 15 · see citing works
Non-ART pregnancy predictive factors in infertile patients with peritoneal superficial endometriosis
Boujenah, J., Cédrin‐Durnerin, I., Herbemont, C., Sifer, C., & Poncelet, C. (2017) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2017.03.008 · Cited by 14 · see citing works
Comments on the ESHRE recommendations for the treatment of minimal endometriosis in infertile women.
Daniilidis, A., & Pados, G. (2018) · Reproductive Biomedicine Online · doi:10.1016/j.rbmo.2017.10.103 · Cited by 11 · see citing works
Self-citationM053 EVIDENCE‐BASED THERAPY FOR INFERTILITY ASSOCIATED WITH EARLY STAGE ENDOMETRIOSIS
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Flagged first, then by citations
2 of the 111 references couldn’t be matched to a known paper.
Cited by
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The connection between endometriosis and secondary dysmenorrhea
Begum, I. A. (2025) · Journal of Reproductive Immunology · doi:10.1016/j.jri.2025.104425 · Cited by 10 · see citing works
Evidence on Serum Anti-Müllerian Hormone Levels and Endometriosis Surgery
Grigoriadis, G., Daniilidis, A., Pitsillidi, A., Bıyık, İ., Crestani, A., Merlot, B., & Roman, H. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14113772 · Cited by 5 · see citing works
Self-citationExploring the Early Endometrial–Blastocyst Interactome in Endometriosis: An Integrative Study
Schafir, A., Materazzi, L., Castagnola, L., Occhiuzzi, A., Paparini, D., Tessari, L., Fierro, L., Irigoyen, M., Cattaneo, A., Gnocchi, D., et al. (2025) · Biomedicines · doi:10.3390/biomedicines13112588
Хирургическое лечение бесплодия при глубоком инфильтрирующем эндометриозе
Kalachev, V. N., Podgornaya, A. S., Бик-Мухаметова, Я. И., Кононова, О. Н., & Каплан, Ю. Д. (2025) · Репродуктивное здоровье Восточная Европа · doi:10.34883/pi.2025.15.6.009
Endometriosis During Pregnancy: Maternal and Fetal Considerations
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Resveratrol as a protective and ameliorative agent in endometriosis
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Endometriosis: Epidemiology, Risk Factors, Molecular Mechanisms, Diagnosis, and Management
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Endometriosis: surgical management for fertility enhancement
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Self-citation
- Authors
- Grigoriadis, G., & Daniilidis, A.
- Affiliations
- Aristotle University of Thessaloniki (GR)
- Corresponding author
- Daniilidis, Angelos
- Venue
- Journal of Clinical Medicine
- Publisher
- MDPI AG
- Published
- 2024-07-04
- Volume
- 13
- Issue
- 16
- Pages
- 4817-4817
- ISSN
- 2077-0383 (ISSN-L)
- PMC
- PMC11355624
- OpenAlex
- W4401611206
- Cited by
- 10
- References
- 111
- Citations by year
- 2026: 6 · 2025: 4
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Locations
- Journal of Clinical Medicine (publishedVersion, cc-by)
- Preprints.org (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- laparoscopic surgery, fecundity, fertility outcomes, spontaneous conception, unexplained infertility, in vitro fertilization, endometriosis phenotypes
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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