Retrospective analysis of infertile women with endometriosis who underwent laparoscopic surgery

Akiko Miyahara, Yoshitsugu Watanabe, Keiko Kataoka, Masahide Miyazaki, Hironori Kenjo, Rika Egami, Masao Fukuhara, G. Nakamura, Gen-ichi Nakamura
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2009 · vol. 25(2) , pp. 414–418 · doi:10.5180/jsgoe.25.414 · W2327412879
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This retrospective analysis of 379 infertile women with endometriosis who underwent laparoscopic surgery found a cumulative pregnancy rate of 30.3% within 18 months, with higher rates in earlier stages of the disease.

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Abstract

Objective: To determine the pregnancy rate after laparoscopic surgery on infertile women with endometriosis.Design: The pregnancy outcomes of 379 infertile women with endometriosis after laparoscopic surgery was followed for 9 months and retrospectively analyzed. Results: One hundred sixty-two patients (42.7%) conceived, as follows: spontaneous, 34; timed intercourse, 47; intrauterine insemination, 26; and assisted reproductive techniques (ART), 54. The cumulative pregnancy rate in patients with stage IV endometriosis (30.6%) was lower than patients with stage I endometriosis (43.1%) 18 months after laparoscopy. The cumulative pregnancy rate was 30.3% in all patients, and 23.2% in patients excluding ART pregnancies, 12 months after laparoscopy. Seventy percent of pregnant women conceived within 12 months. The pregnancy rate within 12 months with ART was 50%, whereas the pregnancy rate without ART technology was 80%-90%. Conclusion: Our findings suggest that treatment, such as observation, timed intercourse, and intrauterine insemination, should be performed for infertile women with endometriosis up to 12 months after laparoscopic surgery.
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Abstract

Objective: To determine the pregnancy rate after laparoscopic surgery on infertile women with endometriosis. Design: The pregnancy outcomes of 379 infertile women with endometriosis after laparoscopic surgery was followed for 9 months and retrospectively analyzed.

Results

One hundred sixty-two patients (42.7%) conceived, as follows: spontaneous, 34; timed intercourse, 47; intrauterine insemination, 26; and assisted reproductive techniques (ART), 54. The cumulative pregnancy rate in patients with stage IV endometriosis (30.6%) was lower than patients with stage I endometriosis (43.1%) 18 months after laparoscopy. The cumulative pregnancy rate was 30.3% in all patients, and 23.2% in patients excluding ART pregnancies, 12 months after laparoscopy. Seventy percent of pregnant women conceived within 12 months. The pregnancy rate within 12 months with ART was 50%, whereas the pregnancy rate without ART technology was 80%-90%.

Conclusion

Our findings suggest that treatment, such as observation, timed intercourse, and intrauterine insemination, should be performed for infertile women with endometriosis up to 12 months after laparoscopic surgery. Design: The pregnancy outcomes of 379 infertile women with endometriosis after laparoscopic surgery was followed for 9 months and retrospectively analyzed.

Results

One hundred sixty-two patients (42.7%) conceived, as follows: spontaneous, 34; timed intercourse, 47; intrauterine insemination, 26; and assisted reproductive techniques (ART), 54. The cumulative pregnancy rate in patients with stage IV endometriosis (30.6%) was lower than patients with stage I endometriosis (43.1%) 18 months after laparoscopy. The cumulative pregnancy rate was 30.3% in all patients, and 23.2% in patients excluding ART pregnancies, 12 months after laparoscopy. Seventy percent of pregnant women conceived within 12 months. The pregnancy rate within 12 months with ART was 50%, whereas the pregnancy rate without ART technology was 80%-90%.

Conclusion

Our findings suggest that treatment, such as observation, timed intercourse, and intrauterine insemination, should be performed for infertile women with endometriosis up to 12 months after laparoscopic surgery. © 2009 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy Favorites & Alerts Recently viewed articles

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endometriosis

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