Objective To investigate the approach of obstetricians and gynaecologists in Ireland to optimising the fertility of young women with moderate to severe endometriosis, who have not yet completed their family. Design Scoping questionnaire Setting The study survey was delivered via an anonymous online survey platform forum. Population Doctors working in Obstetrics and Gynaecology in Ireland Methods A scoping survey was delivered via an online forum. Obstetrics and gynaecology consultants and trainees were identified through the national professional and training body for Obstetrics and Gynaecology in Ireland. Results Almost 60% of respondents were consultants or senior registrars. Most (98%) take age and fertility desire into consideration when planning treatment, 71% always perform ultrasound prior to operating, with 36% usually performing an AMH test, and 37% discussing the risk of ovarian cystectomy to patient ovarian reserve. Although most (86%) reported counselling women with moderate to severe endometriosis to consider starting a family, only 25% routinely discuss fertility preservation before complex surgery. Conclusion This study demonstrates the significant heterogeneity in the management of women with severe endometriosis in Ireland. There is a low level of assessment of ovarian reserve and consideration of ART procedures such as IVF and egg freezing. This may have been related to the lack of public funding for these services in Ireland at the time of this survey. Further studies are needed to try define the characteristics of women with endometriosis who will benefit most from fertility preservation.
