Long-Term Fertility After Laparoscopy for Endometriosis-Associated Pelvic Pain in Young Adult Women

Brittaney M. Wilson-Harris, Wilson-Harris BM, Benjamin Nutter, Nutter B, Falcone T, Tommaso Falcone
Journal of Minimally Invasive Gynecology · 2014 · vol. 21(6) , pp. 1061–1066 · doi:10.1016/j.jmig.2014.05.002 · PMID:24858987 · W2086369586
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This study investigated long-term fertility rates in young adult women who underwent laparoscopy for endometriosis-associated pelvic pain.

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Abstract

Study objectiveTo describe the long-term fertility outcomes in young patients with endometriosis-associated pelvic pain treated with laparoscopic surgery.DesignRetrospective case series (Canadian Task Force classification II-2).SettingTertiary care hospital.PatientsWomen aged 18 to 25 years who underwent laparoscopic surgery between 2000 and 2005 at the Cleveland Clinic Foundation solely to treat endometriosis-associated pelvic pain.InterventionsPatients answered a telephone or mail survey questionnaire assessing fertility outcome after surgery.Measurements and main resultsTwenty-eight of 74 eligible patients (37.8%) were enrolled in the study. With a median (interquartile range) age of 23.5 (1.5) years at follow-up, these patients completed the telephone or postal questionnaire to assess fertility outcomes at follow-up of 102.5 (16.6) months. In most participants the diagnosis was less advanced endometriosis (stage I, 60.7%; stage II, 28.6%). Twenty women (71.4%) had at least 1 pregnancy during follow-up that resulted in a live birth, of which >80% were spontaneous without the use of assisted reproductive technologies.ConclusionLong-term pregnancy rates are excellent in young women undergoing laparoscopic surgery to treat pelvic pain. However, a future prospective study is needed to determine whether laparoscopy has any hindrance on future fertility.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Adnexal Diseases Endometriosis Fertility Laparoscopy Laparoscopy Pelvic Pain Adnexal Diseases Adnexal Diseases Adnexal Diseases Adolescent Adult Endometriosis Endometriosis Endometriosis Female Humans Pelvic Pain Pelvic Pain Pregnancy Pregnancy Rate

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