Endometriosis-associated infertility and the efficacy of dienogest

Endometriosis remains one of the key challenges in reproductive medicine in the 21st century. One in ten women of reproductive age has this condition, the main clinical manifestations of which are chronic pelvic pain and infertility. It should be noted that implantation failures are common in patients with endometriosis-associated infertility undergoing assisted reproductive technology (ART). This article examines the main pathogenetic mechanisms of implantation failure in endometriosis-associated infertility and treatment options.