Endometriosis and adenomyosis frequently co-exist in women presenting with infertility, posing a dual threat to pelvic anatomy, oocyte quality, and endometrial receptivity.

Managing these conditions requires reproductive endocrinologists and gynecologists to navigate a delicate balance, achieving disease suppression and symptom control without compromising ovarian reserve or delaying definitive fertility treatments.

In this focused clinical session, we examine evidence-based algorithms tailored specifically for the infertile patient. The discussion highlights advanced diagnostic imaging strategies (high-resolution transvaginal ultrasound and MRI), pre-ART medical suppression protocols, and the role of targeted surgical intervention for endometriomas and focal adenomyosis. Attendees will gain a clear, structured framework to optimize natural conception windows, tailor IVF protocols, and improve overall reproductive outcomes.