关键词: 子宫内膜异位症, 生育力保护, 临床策略

Abstract: Endometriosis （EM for short） is a common disease that leads to the decline of female fertility. The way to fulfill the concept of fertility protection throughout the whole process，and the use of this as a starting point to formulate appropriate individualized comprehensive treatment strategies for patients with endometriosis so as to maximize the treatment outcome has always been the difficulty and the focus of endometriosis treatment. This paper summarizes and analyzes the treatment dilemma of endometriosis and the change of treatment mode，considers the core value of endometriosis treatment，and analyzes the optimal strategies at different stages. It is proposed that the treatment for endometriosis should be age-stratified，symptom-oriented，and coupled with three-level prevention，taking the improvement of patients' quality of life as the core，so that a precise whole-process management mode of chronic diseases can be carried out.

Key words: endometriosis, fertility protection, clinical strategies