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 OBJECTIVE: To describe the long-term fertility outcomes in young patients with endometriosis-associated pelvic pain treated with laparoscopic surgery. DESIGN: Retrospective case series (Canadian Task Force classification II-2). SETTING: Tertiary care hospital. PATIENTS: Women 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. INTERVENTIONS: Patients answered a telephone or mail survey questionnaire assessing fertility outcome after surgery. MEASUREMENTS AND MAIN RESULTS: Twenty-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. CONCLUSION: Long-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 Fertility Laparoscopy Laparoscopy Laparoscopy Pelvic Pain Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adolescent Adolescent Adult Adult Endometriosis Endometriosis Endometriosis Endometriosis

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (24)

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