What fertility-sparing option is commonly used for endometriosis?

• A. Hysterectomy
• B. Ovarian suppression throughout pregnancy
• C. Chemotherapy
• D. Laparoscopic lesion ablation/adhesiolysis

Answer: (D)

The central idea is treating endometriosis in a way that targets the disease itself while keeping the uterus and ovaries intact to preserve fertility. Laparoscopic lesion ablation or adhesiolysis does this by directly removing or destroying endometriotic implants and cutting apart or releasing scar tissue that binds pelvic organs. With small incisions, a surgeon can visualize the pelvis, carefully remove endometriotic tissue, and free the ovaries, tubes, and uterus from adhesions. This improves pelvic anatomy, reduces inflammation and pain, and can enhance the chances of natural conception in many patients with endometriosis.

This option is preferred for fertility preservation because it treats the underlying pathology rather than suppressing it or removing reproductive organs. Other approaches either permanently eliminate fertility (like hysterectomy) or aren’t aimed at improving fertility (such as broad ovarian suppression or chemotherapy, which aren’t standard fertility-sparing treatments for endometriosis).