子宫内膜异位症(内异症)合并不孕症是辅助生殖技术重要的适应证之一,包括宫腔内人工授精(IUI)和体外受精(IVF)。因为病因不明、分期复杂和临床的异质性,在辅助生殖技术应用的适应证、诱导排卵方案、促性腺激素释放激素激动剂(GnRHa)应用、卵巢子宫内膜异位囊肿的预处理等方面存在争议。该文推荐了内异症不同年龄、卵巢储备状态、病期等条件下的助孕策略和促排卵方案的选择,强调标准化基础上的个体化治疗原则。 Endometriosis (endometriosis) Infertility is one of the most important indications for assisted reproductive technology, including intrauterine insemination (IUI) and in vitro fertilization (IVF). Because of etiology, complicated staging and clinical heterogeneity, indications for the use of assisted reproductive technology, induction of ovulation program, application of gonadotropin-releasing hormone agonist (GnRHa), pretreatment of ovarian endometriosis there is controversy. The article recommended the choice of pregnancy-assisted strategies and ovulation-promoting programs under different age, ovarian reserve status, disease duration and other conditions, emphasizing the principle of individualized treatment based on standardization.