Endometriosis is a chronic gynaecological disorder characterised by the presence of ectopic endometrial tissue outside the uterus, leading to pain, inflammation, and infertility. Surgical intervention plays a critical role in the management of endometriosis-related infertility by restoring normal pelvic anatomy, improving ovarian function, and enhancing the success of assisted reproductive technologies assisted reproductive techniques (ART). This mini-review examines the impact of various surgical techniques, including laparoscopic excision, ovarian endometrioma management, and deep infiltrating endometriosis surgery, on fertility outcomes. The latest evidence on the role of surgery in improving natural conception rates and in-vitro fertilisation success is explored, along with future directions in minimally invasive techniques.
Piyadigama et al. (Sat,) studied this question.