1) Laparoscopic ablation of minimal or mild endometriosis in women with subfertility aims to increase pregnancy rates but evidence from randomized trials is limited and inconclusive. 2) Two randomized trials found slightly higher pregnancy rates with ablation but the number needed to treat was high at 8 women to achieve one additional pregnancy. 3) A prospective cohort study found no significant difference in fecundity rates between women with minimal/mild endometriosis and unexplained infertility.

1. Laparoscopic Ablation For Minimal Or Mild Lesions In Endometriosis Associated Subfertility Hesham Al-Inany, M.D kaainih @link.net

2. Dr Al-Inany is a Senior Lecturer at Cairo University and IVF specialist at the Egyptian IVF-ET Center. He has conducted the first prospective meta-analysis in the entire filed of gynecology comparing GnRH agonist vs antagonist in assisted conception. Dr.Al-Inany is responsible for "Evidence Based Medicine" corner in the Middle East Fertility Society Journal for more than 3 years, explaining the values of evidence based medicine and it tools. He has published over 25 scientific articles since he obtained his medical qualification in Obstetrics & Gynecology in 1998.

20. The authors urged for prospective randomized trials to be performed to confirm these findings.