IVF Stimulation Protocols and Outcomes in Women with Endometriosis

Endometriosis is a complex disease by itself. When considering fertility, corrective surgeries may compromise the outcome of these women. Different protocols with varying success rates have been evaluated. The long-standing debate between the long protocols, which offers the benefits of a prolonged suppression of the pituitary, or the antagonist protocols, which are shorter and have the added safety benefit, is slowly addressing to the antagonists. The great advances observed with vitrification techniques have led to the use of newer methods of ovarian stimulation (OS) like the progesterone primed only (PPOS) protocol which offers the safety benefit while also being cheaper with better patient compliance. No protocol has been proved to be superior to the others. Early intervention with in vitro fertilization, irrespective of the protocol, can give these women early and good results.