{"paper_id":"d7368a10-a617-4b3e-9e3e-be13d06c2456","body_text":"Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.\nLaparoscopic surgery improves pregnancy outcomes in women with suspected endometriosis with or without pathological confirmation\nP.B. Miller 1, R.F. Savaris 2, D.A. Forstein 1, C.E. Likes 1, C. Nichols 3, L.J. Cooper 4, B.A. Lessey 1,*\nAffiliations\nArticle Info\n1 Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Greenville Health System, Greenville, SC (USA)\n2 Department of Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil)\n3 Department of Public Health Sciences, Clemson University, Clemson, SC (USA)\n4 Department of Biology, Faculty of Sciences, University of British Columbia, Vancouver (Canada)\nAbstract\nPurpose of the investigation: To verify whether histologic confirmation of endometriosis impacts fertility outcomes. Materials and Methods: Women with unexplained infertility (UI) underwent laparoscopic excision or ablation with CO2 laser or electrocautery of all suspected endometriotic lesions, followed by clinical treatment between January 2007 and December 2013; pregnancy (> 12 weeks) within 12 months of monitored cycles was the main outcome measured. Results: Women with histological confirmation (n=74) did not differ from those not confirmed (n=29) with age, body mass index, gravidity, parity, ovulation induction protocol, and past duration of infertility. Pregnancy outcome was similar in both groups (39/74 vs. 15/29 - p = 0.9 – Chi-square) and there was no statistical difference in time to conceive/deliver (p = 0.7) between groups. Conclusions: There is no difference in fertility outcomes in women with UI, whether or not suspected endometriosis is confirmed pathologically.\nKeywords\n- Laparoscopy\n- Endometriosis\n- Pregnancy outcome","source_license":"public-domain-us","license_restricted":false}