Endometrial tissue (glandular and mesenchymal) invades and grows within the ovarian cortex, bleeding repeatedly with the menstrual cycle, forming a single or multiple cystic type of typical lesion containing a dark brown, chocolate-like paste of old, bloody fluid called ovarian chocolate cysts, or coeliacs. Coeliacs are a type of endometriosis (EMT), and the effect of EMT on pregnancy rates has long been known. The prevalence of endometriosis has been reported to be about 25-35% in women with infertility and 39-59% in women with pelvic pain, while about 33% of patients with endometriosis have a combined problem of infertility. When EMT invades the ovaries, it can cause an occupying lesion or a local reaction that reduces the ovarian tissue with endocrine and ovulatory functions. On the other hand, surgical treatment of EMT in any way can cause secondary damage to ovarian function, which can affect the conception rate. Therefore, to address this issue, this paper reviews the issues related to the treatment of coeliac disease by collecting the literature on coeliac combined infertility in recent years to provide clinical workers with some ideas in the treatment of patients with coeliac combined infertility. Evidence-based medicine confirms that cyst debridement is more effective than internal cyst electrocoagulation and simple aspiration of cystic fluid in patients with coarctation, and it has become the best surgical method recognized at home and abroad. Almong et al. found that the number of sinus follicles and the number of eggs obtained by IVF were lower in the operated side than in the non-operated side. When ovarian cysts are removed, the cyst wall is often lined with normal ovarian tissue. The recommendations for EMT and infertility treatment (ESHRE 2005) make the following observations regarding the efficacy of surgery: for mild to moderate EMT, surgical debridement can promote fertility; laparoscopic surgery for isolated lesions and coarctation of the cyst diameter can restore fertility as soon as possible, but with postoperative However, with the passage of time after surgery, the pregnancy rate is gradually reduced, so it is recommended that patients should actively prepare for pregnancy within six months to one year after surgery. As far as the surgical approach is concerned, for ovarian endometriosis cysts, the recurrence rate of simple aspiration of the fluid from the cyst is high, with a probability of more than 50%. The recurrence rate can be significantly reduced by first aspiration of the cyst fluid by puncture and then debulking the cyst wall by opening the window. 2.Ultra-ovulation promotion + artificial insemination The National Standard for Diagnosis and Treatment of Endometriosis states that postoperative fertility guidance can be given to patients with intra-uterine ectopic disease I-II in anticipation of natural conception, and if necessary, artificial insemination or ultra-ovulation treatment can be chosen to help them become pregnant. In patients with stage I-II endometriosis, letrozole combined with intrauterine insemination therapy can significantly increase the pregnancy rate within 1 year of laparoscopic coarctation and removal of pelvic ectopic lesions, and is an effective treatment for patients with stage I-II endometriosis combined with infertility. Fertility rate. In Chinese medicine, EMT belongs to the category of dysmenorrhea and infertility. “Kidney deficiency and blood stagnation” is the basic pathological essence of this disease. Clinical studies have shown that tonifying the kidney to remove silt can significantly improve dysmenorrhea and other related symptoms, and also significantly restore ovarian function, thus significantly increasing the conception rate. Therefore, the number of scholars advocating the method of tonifying the kidney to eliminate siltation is gradually increasing. Some studies have shown that the total efficiency of EMT treatment with herbal cycle therapy can reach 95.24%. The composition of the herbal formula consists of Fructus sanguinis, Coix seed, Salvia officinalis, Cinnamomum officinale, Paeonia lactiflora, Poria, Trigonellae, Curcuma longa, Radix et Rhizoma Chuanxianthus and Plantago ovata. The basic pathogenesis of the disease was “stasis of blood blocking the uterus and the rhizome”. Chen Bihui et al. divided the patients who met the criteria for EMT combined with infertility into a treatment group, i.e., after laparoscopic staging and treatment, they were treated with herbal medicines to tonify the kidney, invigorate blood circulation and resolve blood stasis for 3 months and then started to apply ovulation promotion and artificial insemination techniques for assisted reproduction; while the patients in the control group were treated with long-acting gonadotropin-releasing hormone agonist (GnRHa) for 3 months after surgery, and the same assisted reproduction measures were performed after the patients resumed menstruation. The result was that both improved their pregnancy rate. When ovarian coeliacs are formed, the apoptosis of granulosa cells increases, which hinders the growth of follicles and egg maturation. In addition, after ovarian coeliac removal, the ovarian reserve decreases. Therefore, in patients with severe EMT, age and ovarian reserve are more significant than the lesion itself, and IVF is often needed to help conception. The recommendations for the treatment of EMT and infertility (ESHRE 2005) also state that GnRH-a treatment after moderate to severe EMT results in increased IVF pregnancy rates. In addition, there is no unanimous conclusion on whether to perform reoperation or IVF to assist pregnancy in patients with recurrent ovarian coarctation in combination with infertility, and Vercellini et al. summarized the literature in favor of IVF to assist pregnancy.