Endometriosis is graded into stages depending upon its severity. Stage I is mild endometriosis.
Endometriosis can cause effects on each step on IVF
•Stage 1 and 2 endometriosis: Reduced Fertilisation rates
•Stage 3 and 4 endometriosis- Reduced Implantation rate (RR = 0.79, CI 0.67-0.93, P = 0.006) and Reduced Clinical pregnancy rate (RR = 0.79, CI 0.69-0.91, P = 0.0008)
•Stage 1 -2 Endometriosis: a hostile pelvic environment (Ryan 1997; Surrey 1998).
•Stage 3-4 Endometrisis
: Lower oocyte yield and poor oocyte quality (Norenstedt2001; Pal 1998),
AT p4 fertility - we personalise the plan on who needs surgery or medical management for endometriosis to optimise the success