Fertility in Untreated Rectosigmoid Endometriosis

Fertility in Patients With Untreated Rectosigmoid Endometriosis

Several studies investigated the reproductive outcomes after surgical treatment of colorectal endometriosis, mainly segmental colorectal resection. Little information is available on the spontaneous fertility of patients with bowel endometriosis. This study aims to evaluate the fertility of patients affected by rectosigmoid endometriosis who did not undergo previous surgical treatment.

Inclusion Criteria:

• Desire of conception
• Diagnosis of rectosigmoid endometriosis by transvaginal ultrasonography (TVS) and magnetic resonance imaging enema (MR-e)

Exclusion Criteria:

• Previous surgery for endometriosis
• Diagnosis of hydrosalpinx at imaging
• Previous conception
• Abnormal semen parameters of male partners