Gynecology and obstetrics: Impacts of endometriosis on female fertility

Introduction: Endometriosis is a chronic inflammatory pathology caused by the appearance of fragments ofendometrial tissue outside the uterine cavity, which affects women of reproductive age. This condition can present with a wide variety of clinical manifestations, causing severe pelvic pain, symptoms resulting from injury to non-reproductive organs, and infertility. Studies indicate that about 30 to 50% of infertile women have endometriosis, thus suggesting a possible contribution of endometriosis in the etiopathogenesis of infertility. Therefore, in order to treat endometriosis and promote the patient's fertility, clinical and surgical treatments can be offered. Objective: This project aims to carry out a literature analysis about endometriosis and its impacts on female fertility, as well as the treatment of this condition. Methodology: this is an integrative review of the literature, carried out in the following databases: Scientific Electronic Library Online (SciELO), Web of Science and National Library of Medicine (PubMed/Medline), Google Scholar and Virtual Health Library (VHL). A total of 50 publications were identified, and 30 bibliographic references from the last 22 years were used. The exclusion criteria were non-pertinence to the theme, and articles prior to this period. The articles analyzed were selected according to the descriptors: endometriosis, infertility and reproduction. Results: considering that endometriosis is related to infertility, measures are necessary to treat this condition, for this, ablation of the lesions associated with adsiolysis, expectant management or ovarian stimulation associated with intrauterine insemination or FIVETE can be considered. Conclusion: considering that endometriosis can lead to infertility, it is of paramount importance to carry out the early diagnosis of the disease, enabling the effectiveness of the treatment of the condition and promotion of the woman's fertility