Abstract
The article is devoted to the current problem of endometriosis-associated infertility. In recent years, a great deal of information has been accumulated on the etiology, diagnosis and treatment of genital endometriosis and endometriosis-associated infertility. According to world studies, endometriosis remains one of the most pressing problems in modern gynecology. This is evidenced by statistics showing that the disease occurs in every 10 women of fertile age, and a total of 176 million women worldwide. Approximately 20–50 % of women included in this number have a problem of infertility. Hence, the problem of this disease is not only a medical but also a social problem.
 Conclusions. The tactics of treatment of patients with endometriosis who are planning a pregnancy and are included in the ART protocols are significantly different from the tactics of treatment of patients who believe that they have performed reproductive function.
Highlights
Even surgical treatment is not always appropriate, as it leaves a fairly high risk of disease recurrence and in most cases adversely affects the state of the ovarian reserve, deteriorating the quality of ovogenesis, which is critical for patients who want to become pregnant [21]
Surgical treatment leaves a fairly high risk of recurrence of the disease and in most cases adversely affects the state of the ovarian reserve, deteriorating the quality of ovogenesis, which is critical for patients wishing to become pregnant
A new technique and a good alternative to open surgical tactics for the treatment of ovarian endometriosis is the method of sclerotherapy of endometrioid cysts, which has a number of advantages: minimally invasive, accessible, eliminating the risk of postoperative complications, reducing the risk of recurrence of endometrioid cysts and most importantly – the preservation of a woman's ovarian reserve
Summary
I. Horbachevsky Ternopil National Medical University Medical Center “Professor Stefan Khmil Clinic”. The article is devoted to the current problem of endometriosis-associated infertility. A great deal of information has been accumulated on the etiology, diagnosis and treatment of genital endometriosis and endometriosis-associated infertility. Endometriosis remains one of the most pressing problems in modern gynecology. This is evidenced by statistics showing that the disease occurs in every 10 women of fertile age, and a total of 176 million women worldwide. 20–50 % of women included in this number have a problem of infertility. The problem of this disease is a medical and a social problem
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