Fertility after conservative treatment of endometriosis.
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Abstract
The charts of 128 infertile patients with laparoscopically confirmed endometriosis for the seven years ending in June 1980 were reviewed. The patients were staged according to the American Fertility Society classification. All couples underwent semen analysis, endometrial biopsy, postcoital testing and hysterosalpingography. Life-table analysis was used to evaluate the different treatment modalities. An unexpected finding was that 9 of 17 patients (52%) who declined therapy after laparoscopy conceived, for a monthly fecundity of 0.03. The most common associated infertility factor was a poor postcoital test (in 23%). Fourteen of the 29 patients with a poor postcoital test (48%) conceived after treatment of their endometriosis, for a monthly fecundity of 0.02.
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Cited by (10)
- Medical treatment of mild endometriosis associated with infertility 1991
- Argon Laser Laparoscopy for Treatment of Pelvic Endometriosis Associated with Infertility and Pelvic Pain 1991
- Use of the Nd: YAG laser for the treatment of endometriosis 1989
- Combination medical and surgical therapy for infertile patients with endometriosis. 1989
- Combination Medical and Surgical Therapy for Infertile Patients with Endometriosis 1989
- Clinical Epidemiology of Endometriosis and Infertility 1989
- Danazol and medroxyprogesterone acetate inefficacious in the treatment of infertility in endometriosis 1988
- The importance of laparoscopic coagulation of mild endometriosis in infertile women. 1987
- Argon laser therapy of endometriosis: a review of 92 consecutive patients 1987
- Spontaneous abortion rate in patients with endometriosis treated with progesterone. 1987
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