{"paper_id":"80399498-0c0e-4628-aa04-4a28f73bba53","body_text":"Original\nEfficacy of laparoscopic surgery for endometriosis-associated infertility\n2010 Volume 26 Issue 2 Pages 511-515\nDetails\nAbstract\nObjective: To evaluate the efficacy of laparoscopic surgery for endometriosis-associated infertility.\nDesign: Retrospective study.\nSetting: Department of Obstetrics and Gynecology, Kochi Medical School.\nPatient(s): Sixty-five women with endometriosis-associated infertility.\nIntervention(s): Laparoscopic evaluation and treatment of endometriosis.\nMain outcome Measure(s): Background of 65 women with endometriosis-associated infertility. Clinical pregnancy rate (PR) of 57 women, who were followed > 6 months after laparoscopic surgery for endometriosis.\nResult: Of 57 women who underwent laparoscopic surgery, 34 conceived (clinical PR, 59.6%), including 28 non-ART pregnancies and 6 ART pregnancies. Eighty percent of non-ART pregnancies conceived within 1 year after laparoscopic surgery. In women with minimal and mild endometriosis, the clinical PR of non-ART after laparoscopic surgery was 61.1%, and in women with moderate and severe endometriosis the clinical PR of non-ART was 43.8%. The clinical PR of non-ART in women < 35 years of age (67.6%) was significantly higher than in older women (27.2%).\nConclusion: Women with endometriosis-associated infertility can be expected to conceive spontaneously within 1 year after laparoscopic surgery. When patients fail to conceive 1 year after laparoscopic surgery, ART should be considered.\nDesign: Retrospective study.\nSetting: Department of Obstetrics and Gynecology, Kochi Medical School.\nPatient(s): Sixty-five women with endometriosis-associated infertility.\nIntervention(s): Laparoscopic evaluation and treatment of endometriosis.\nMain outcome Measure(s): Background of 65 women with endometriosis-associated infertility. Clinical pregnancy rate (PR) of 57 women, who were followed > 6 months after laparoscopic surgery for endometriosis.\nResult: Of 57 women who underwent laparoscopic surgery, 34 conceived (clinical PR, 59.6%), including 28 non-ART pregnancies and 6 ART pregnancies. Eighty percent of non-ART pregnancies conceived within 1 year after laparoscopic surgery. In women with minimal and mild endometriosis, the clinical PR of non-ART after laparoscopic surgery was 61.1%, and in women with moderate and severe endometriosis the clinical PR of non-ART was 43.8%. The clinical PR of non-ART in women < 35 years of age (67.6%) was significantly higher than in older women (27.2%).\nConclusion: Women with endometriosis-associated infertility can be expected to conceive spontaneously within 1 year after laparoscopic surgery. When patients fail to conceive 1 year after laparoscopic surgery, ART should be considered.\n© 2010 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy\nFavorites & Alerts\nRecently viewed articles","source_license":"CC0","license_restricted":false}