A efetividade das técnicas de reprodução assistida em pacientes com endometriose

Abstract

Introduction: Endometriosis is a chronic inflammatory disease that affects approximately 10% of women of reproductive age and is frequently associated with pelvic pain and infertility. It is estimated that between 30% and 50% of women diagnosed with the disease experience difficulty conceiving due to immunological, inflammatory, and anatomical alterations that compromise the reproductive environment. In this context, assisted reproductive techniques have become relevant strategies for overcoming infertility associated with endometriosis. Objective: This study aimed to analyze the effectiveness of assisted reproductive techniques in patients with endometriosis, as well as to discuss clinical aspects related to the reproductive management of these women. Methods: This study consists of an integrative literature review, including studies published between 2015 and 2025. The search was conducted in national and international databases, including PubMed, SciELO, Virtual Health Library, and CAPES Portal. Descriptors related to endometriosis, female infertility, in vitro fertilization, and assisted reproduction were used, combined through the Boolean operators AND and OR, using strategies such as “endometriosis AND assisted reproduction” and “female infertility AND assisted reproductive technologies.” Results: Fifteen scientific articles were selected, which met the inclusion criteria. The analyzed studies demonstrated that techniques such as in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) show satisfactory results in the management of infertility associated with endometriosis, even in the presence of inflammatory and anatomical alterations caused by the disease. Furthermore, the studies highlighted the importance of individualized approaches, multidisciplinary follow-up, and technological advances in optimizing reproductive outcomes. Conclusion: It was concluded that assisted reproductive techniques represent a fundamental strategy in the management of infertility associated with endometriosis. Despite technological advances and satisfactory success rates, treatment should be individualized and conducted through a multidisciplinary approach, considering clinical, emotional, and structural factors in order to optimize reproductive outcomes.