OBJECTIVE: To report two cases of advanced pelvic endometriosis, both with deep rectal involvement and one with extensive cervical involvement appearing like a carcinoma, where both patients achieved spontaneous pregnancy and delivered viable babies. DESIGN: Case report. SETTING: Institute of Reproductive Medicine. PATIENT(S): Two nulliparous patients, one with extensive cervical and rectal and other with deep rectal endometriosis and primary infertility. INTERVENTION(S): Medical management. MAIN OUTCOME MEASURE(S): Description and treatment of two patients with advanced pelvic endometriosis and pregnancy. RESULT(S): Delivery of viable babies in both cases. CONCLUSION: Prolonged medical treatment may have helped to arrest the progression of the disease by restoring anatomic proximity leading to spontaneous pregnancy in both cases.
OBJECTIVE: To report two cases of advanced pelvic endometriosis, both with deep rectal involvement and one with extensive cervical involvement appearing like a carcinoma, where both patients achieved spontaneous pregnancy and delivered viable babies. DESIGN: Case report. SETTING: Institute of Reproductive Medicine. PATIENT(S): Two nulliparous patients, one with extensive cervical and rectal and other with deep rectal endometriosis and primary infertility. INTERVENTION(S): Medical management. MAIN OUTCOME MEASURE(S): Description and treatment of two patients with advanced pelvic endometriosis and pregnancy. RESULT(S): Delivery of viable babies in both cases. CONCLUSION: Prolonged medical treatment may have helped to arrest the progression of the disease by restoring anatomic proximity leading to spontaneous pregnancy in both cases.