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

摘要： 子宫内膜异位症（简称内异症）是导致女性生育力下降的常见疾病。如何全程贯穿生育力保护的概念，并以此为抓手，为内异症患者制定合适的个体化综合治疗策略，从而最大限度改善治疗结局，一直是内异症治疗的难点和重点。文章就内异症的治疗困境、治疗模式的变迁进行总结分析，考量内异症治疗的核心价值，分析不同阶段的最优策略。提出内异症治疗应以年龄分层，以症状为导向，进行三级预防，以提高患者生活质量为核心，实施精准化的慢病全程管理模式。

关键词: 子宫内膜异位症, 生育力保护, 临床策略