Question

Patient with a historyy of *endometriosis* is having issue w/ conceiving (> 1yr) - if all other causes have been ruled out (male partner causes or PID), what should be done?

Answer 1

When ruling out other causes of infertility in a patient with a history of endometriosis, the next steps may involve hormonal therapy, in-vitro fertilization (IVF), or laparoscopic surgery to increase the chances of conception.

Step-by-step explanation:

When a patient with a history of endometriosis is experiencing difficulty conceiving after ruling out other causes, the next steps may involve further investigation and specialized treatments. Here are some possible options:

1. Hormonal therapy: Medications can be used to regulate hormone levels and promote better ovulation, increasing the chances of pregnancy.
2. In-vitro fertilization (IVF): This procedure involves fertilizing eggs with sperm in a laboratory and then transferring the resulting embryos into the uterus. IVF can bypass any obstructions in the oviducts, increasing the chances of pregnancy.
3. Laparoscopic surgery: If the endometriosis is severe or causing significant anatomical distortions, surgery may be recommended. This procedure aims to remove abnormal tissue and correct any structural issues that may be hindering conception.