Pregnancy in women with advanced endometriosis and adenomyosis: possible complications and the role of surgery

While advanced endometriosis is linked to higher risks of pregnancy complications, there is no consistent evidence that pre-conception surgery reduces these risks. Well-designed, multicentre prospective studies are urgently needed to disentangle the roles of surgery, disease severity, adenomyosis, and ART. Meanwhile, individualised, multidisciplinary care remains essential, with careful documentation of endometriosis history and risk-stratified referral to tertiary centres when high-risk features are present.

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Publication Details

Journal
Reproductive Biology and Endocrinology
Published
2025-11-26
DOI
https://doi.org/10.1186/s12958-025-01492-y
Primary Topic
Endometriosis Research and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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Pregnancy in women with advanced endometriosis and adenomyosis: possible complications and the role of surgery

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Pregnancy in women with advanced endometriosis and adenomyosis: possible complications and the role of surgery

Julia Wängberg Nordborg, Maria Forslund, Malin Brunes, Anna Marklund, L. Jokubkiene, Hanna Åmark, Kristin Wennmo-Zuk
article en

Abstract

While advanced endometriosis is linked to higher risks of pregnancy complications, there is no consistent evidence that pre-conception surgery reduces these risks. Well-designed, multicentre prospective studies are urgently needed to disentangle the roles of surgery, disease severity, adenomyosis, and ART. Meanwhile, individualised, multidisciplinary care remains essential, with careful documentation of endometriosis history and risk-stratified referral to tertiary centres when high-risk features are present.

Reproductive Biology and EndocrinologyVol. 23(1)
Karolinska University Hospital (SE), Malmö University (SE), Sahlgrenska University Hospital (SE), Karolinska Institutet (SE), Stockholm South General Hospital (SE), Skåne University Hospital (SE), University of Gothenburg (SE)
Openalex Percentile: Top 53%
Endometriosis Research and Treatment
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