[00:00:09] Talking about Endometriosis associated with infertility. While Trying to Find A fine balance between an aggressive disease that we know that can progress at a certain point of time and lead to unfortunate reproductive outcomes and of controversy that’s surrounding the different management options that we are offering to our patients.
In addition, we are also trying to communicate whatever decision we make. To refer patients to tumors around them. Around us and at the same time we are trying to make some. Land-based on evidence. With. That I would like to share it with you.
The objectives we tried to understand a little bit about them the mechanistic about myself and which was associated infertility to help us trying to differentiate between two categories from within endometriosis chooses alone. And individuals plus two critical approaches different management options that we have to and that we offer to our patients and are bound to provide a practical management algorithm that you can use in your practice to advise patients so we. Know about how.
Prevalent diseases both in the general population as with the infertile population in addition to the fact that just recently we knew about eleven percent of IVF cycles started in the United States are due to. Endometriosis so we have a big clinical problem. But we have. A great deal of controversy about the different management options and in my opinion that is telling from two facts.
The first one is we have a very poor understanding of the disease mechanism. In addition, there is a suboptimal reporting. Of the most relevant.