Update 3A: Current surgical implications for fertility

Surgery for endometriosis before IVF – an evidence-based approach

Ertan Saridogan, Consultant in Reproductive Medicine and Minimal Access Surgery, University College London Hospitals NHS Foundation Trust, UK

Presentation learning objectives:

  • Women with endometriosis have similar live birth rates following ART compared to those without endometriosis.
  • Surgery for endometriomas does not appear to improve chances of success but can make ovarian stimulation more difficult.
  • The currently available evidence for benefit of surgery for superficial or deep endometriosis prior to IVF is controversial.
  • Any potential benefit will need to be weighed against the risks and long-term implications of surgery.

Ertan Saridogan is a Professor of Gynaecological Surgery at University College London and a Consultant in Gynaecology, Reproductive Medicine and Minimal Access Surgery at University College London Hospitals. He is a former President of the British Society for Gynaecological Endoscopy and is the current President-Elect of the European Society for Gynaecological Endoscopy. He is the current Editor of Facts, Views and Vision: Journal of the European Society for Gynaecological Endoscopy. He is also a member of the ESHRE and ESGE/ESHRE/WES Endometriosis Guideline Development Groups. He has been one of the authors of the ESHRE Endometriosis Guideline in 2005, 2013 and 2021.

His clinical interests include laparoscopic and hysteroscopic surgery for benign gynaecological conditions, endometriosis, fibroids and outpatient hysteroscopy. His research interests include noninvasive diagnosis of endometriosis, clinical outcomes following endometriosis surgery, outpatient hysteroscopy, and the place of screening and risk reducing surgery in women with a history of familial cancer.

Caesarean scar niche – implications for fertility

Judith Huirne, Amsterdam University Medical Centres, The Netherlands