What is the real place of surgery for infertile patients with endometriosis?.

Abstract

In this presentation I will present the evidence for surgery in women infertility and endometriosis. I will cover the evidence for surgery relating to AFS stage 1 & 2, Endometriomas and AFS stage 3 & 4. Currently there is varied data on the place of surgery in the above groups. There are obviously advocates for and against surgery worldwide. This lecture will present a balanced approach and emphasize the value of individualisation of treatment in these varied patient groups, in particular the more complex patient group with stage 3&4 DIE. Surgery and IVF should not be seen as conflicting management modalities but rather complimentary and often vital together in the management of the more complex endometriosis situations. Not only is surgery a critical component of management but correct application of skills and training to minimize complications and maximise fertility outcomes are vital. I will also present our most recent data in our patient cohort with colorectal endometriosis and infertility. To facilitate surgical training and management into future AGES is proud to announce the adaptation of its two year fellowship in advanced gynaecological endoscopy. I will briefly touch on the development of this programme and the vital role it will play in the development of our future leaders in gynaecological endoscopy in Australia.