The Medical and Surgical Practice of NaProTECHNOLOGY, 561-572, 2004
Chapter 42: Endometriosis and Effects on Fertility
Author affiliations
- Pope Paul VI Institute for the Study of Human Reproduction, Omaha, Nebraska. ROR
Abstract
Endometriosis impairs fertility through direct mechanical distortion of pelvic anatomy, peritoneal inflammatory mediators, and hormonal micro-environment alterations that reduce implantation potential, making thorough surgical excision critical to restoring fertility rather than bypassing it. The PEARS classification system, used in NaProTECHNOLOGY surgical practice, enables standardized documentation of endometriotic disease extent and correlates operative findings with postoperative reproductive outcomes.
Topics
Endometriosis/Diagnosis/Diagnostic LaparoscopyEndometriosis/Fertility Effects/Ovulatory and Luteal DysfunctionEndometriosis/Fertility Effects/Peritoneal Fluid ToxicityEndometriosis/Treatment/Surgical Excision vs Medical SuppressionEndometriosis/Anatomic Distribution/Peritoneal SitesNaProTECHNOLOGY/Creighton Model/Mucus Cycle Abnormalities in Endometriosis
Cite this article
Hilgers, T. W. (2004). Chapter 42: Endometriosis and Effects on Fertility. *The Medical and Surgical Practice of NaProTECHNOLOGY*, 561-572.
Hilgers TW. Chapter 42: Endometriosis and Effects on Fertility. The Medical and Surgical Practice of NaProTECHNOLOGY. 2004:561-572.
Hilgers, T. W. "Chapter 42: Endometriosis and Effects on Fertility." *The Medical and Surgical Practice of NaProTECHNOLOGY*, 2004, pp. 561-572.