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With patient-centered care being the mantra of 21st-century medicine, the decision to proceed with fertility surgery in women with endometriosis should be based on the individual patient, her reproductive expectations, her specific disease pattern, her support, family network, and available health care resources.

“Operating on a frozen pelvis is probably the most difficult situation a gynecologist can face within his surgical activities,” said moderator Mario Malzoni, chief of the Endoscopica Malzoni Center for Advanced Pelvic Surgery at the National Center for Endometriosis, in Avellino, Italy.

“Telehealth visits serve to ensure patient-centered, shared decision-making counseling, as well as allowing the provider to confirm that the patients are good candidates with no contraindications for their method of choice,” Eve Espey, MD, MPH, said.