Endometriosis, characterized by the growth of endometrial cells outside the uterine cavity, has a significant impact on women’s lives, especially during reproductive age. The progression of the disease is unpredictable, and despite having individual repercussions in each woman, it is a pathology known for directly affecting female fertility. Among the most relevant factors are pelvic adhesions, tubal obstruction, inflammatory factors, immunological alterations, genetic changes, as well as hormonal dysfunctions, which can impact ovarian function and embryo implantation. The article aimed to analyze the pathology of endometriosis and the pathophysiological aspects involved in the reduction of female fertility in women with endometriosis. It was widely discussed how infertility can occur in women with different stages of endometriosis, as well as addressing other forms of diagnosis and treatment of infertility in women. The article also points to genetic studies showing that epigenetic alterations impact endometrial function, being one of the theories cited for the development of infertility as a consequence of endometriosis. The analysis of data used for the study and preparation of this article showed that endometriosis can impact female fertility, highlighting the importance of expanding studies in this area to carry out an individualized approach for each patient and achieve positive results with the proposed treatment.
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