ENDometriosis: Evaluation of Detection and Need for ALGOlogic Care Before Surgery

Prior treatment

• Women undergoing surgery for the purpose of infertility
• Patient with previous surgery for removal of deep lesions of endometriosis or endometriotic cysts (history of exploratory laparoscopy accepted)
• Patient with a desire for pregnancy immediately and/or within one year after surgery
• Patient who has already received algological treatment or who should receive it before surgery
• Patient with previous other psychiatric disorders (depressive symptoms treated)

Other

• Patient with suspicious lesions on MRI or specialized ultrasound.
• A patient who needs to be treated for another uterine pathology at the same time.
• Pregnant women
• Women who refuse clinical examination (some algological tests couldn't be performed without clinical examination)
• Women without rights

• Maternal age from 18 up to 50 years old (50 non included).
• Women affiliated to social coverage insurance
• Women who understand French
• Women who signed the written consent
• Women with impaired quality of life (pain) linked to endometriosis
• Women with formal radiological signs of endometriosis (MRI lesions more than 5 mm or endometrioma more than 20 mm on radiological examinations).
• Surgical indication for resection of lesions by laparoscopy or robotic surgery for management of pain or impairment of quality of life
• Patients requiring complete conservative or radical resections of all lesions
• Indication of surgery validated within dedicated meeting for endometriosis.
• Purpose of pain associated or not with infertility
• Date of surgery fixed with sufficient time for algological treatment. Maximum delay of 4 months between randomization and surgery