G. David Adamson

Common causes of subfertility include ovulatory disorders, tubal disease, peritoneal adhesions, endometriosis, uterine abnormalities, abnormalities of sperm and advancing female age. Infertility is unexplained after thorough evaluation in a…

Surgical management of endometriosis has assumed a prominent role in treating endometriosis-associated infertility and pain. Given the relative lack of prospective, randomized, controlled studies, firm conclusions regarding optimal treatmen…

Endometriosis is a disease that is wide-ranging in location and highly varied in clinical presentation, and of probably complex etiology. Since convincing studies on this condition are few, many physicians maintain a traditional perspective…

DR DALEY: MS B IS A 36-YEAR-OLD MARRIED MEDICAL WRITER with pelvic pain, endometriosis, and infertility. She lives near Boston with her husband and 1-year-old adopted daughter. She has managed care insurance. Ms B experienced menarche at ag…

OBJECTIVE: To analyze the efficacy and cost-effectiveness of alternative treatments for unexplained infertility. DESIGN: Retrospective analysis of 45 published reports. SETTING: Clinical practices. PATIENT(S): Couples who met criteria fo…

OBJECTIVE: To estimate the empirical relationship between the revised American Society for Reproductive Medicine's classification of endometriosis and pregnancy rates after treatment. DESIGN: Retrospective analysis. PATIENT(S): Patients s…

Endometriosis is one of the most enigmatic and common diseases encountered by the gynecologist in the reproductive-age female. An estimated 10% of reproductive-age women and 25-35% of infertile women have this progressive disease which may …

Surgical resection of endometriosis, previously possible only by means of laparotomy, can now be accomplished through laparoscopic techniques. The requirements for surgery, surgical principles, operative techniques, and results are summariz…

OBJECTIVE: Our goal was to determine the effects of a repeated course of the gonadotropin-releasing hormone agonist nafarelin on symptoms and signs of endometriosis and lumbar and distal radius bone mineral density. STUDY DESIGN: Forty-fiv…

The choice of treatment options for endometriosis-associated infertility has been both controversial and complex, largely because of lack of data. In the last 10 years, better data from numerous studies with improved design support laparosc…

Although endometriosis remains an enigmatic disease, recent pharmacologic and surgical ad' vances have dramatically improved our ability to deal with endometriosis-associated pain, infertility, and pelvic masses. This article summarizes the…

OBJECTIVE: To compare the efficacy of nafarelin acetate with danazol in the treatment of dysmenorrhea, dyspareunia, and pelvic pain associated with endometriosis. DESIGN: Prospective, randomized double-blind controlled study. PATIENTS, SET…

OBJECTIVE: Our purpose was to evaluate the role of surgery in the treatment of endometriosis associated with infertility. STUDY DESIGN: We used a prospective cohort analysis of pregnancy rates and variables affecting pregnancy rates for su…

This study assessed the performance of the Heraeus LaserSonics InfraGuide with the 250Z CO2 laser in 46 patients undergoing laparoscopic surgery. Procedures included vaporization of endometriosis, adhesiolysis, ovarian cystectomy, uterosacr…

OBJECTIVE: Development of an endometriosis classification system based on empirically derived stages of the disease, to supplant the Acosta (1973), Kistner (1977), and American Fertility Society (1985) classifications, which are based on ar…

ObjectiveTo assess the hypothesis that pregnancy rates (PRs) after operative laparoscopy (Laparoscopy Group) for endometriosis treatment would be equal to or greater than diagnostic laparoscopy only (No Treatment Group), diagnostic laparosc…

OBJECTIVE: To assess the hypothesis that pregnancy rates (PRs) after operative laparoscopy (Laparoscopy Group) for endometriosis treatment would be equal to or greater than diagnostic laparoscopy only (No Treatment Group), diagnostic laparo…

ADAMSON, G DAVID; HURD, STACY J.; PASTA, DAVID J.; RODRIGUEZ, BRUCE D. Author Information

OBJECTIVE: To assess the effectiveness of laparoscopy versus laparotomy in the treatment of endometriomata. DESIGN: Controlled study using data prospectively tabulated. SETTING: Treatment performed by senior author in a referral reproduct…