Pelvic endometriosis: Infertility and pelvic pain
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This paper examines the relationship between pelvic endometriosis and its impact on infertility and pelvic pain.
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Abstract
A multifactorial approach was used by the authors to analyze data from 119 women with endometriosis and infertility. Conservative surgical procedures afforded a mean pregnancy rate of 37.7 per cent for those women with significant disease. Only 6.7 per cent became pregnant when the proposed surgery was declined. There was an inverse relationship in severity of endometriotic involvement and pregnancy rate. The mean pregnancy rate among 17 patients with minimal disease for whom surgery was discouraged was 64.7 per cent; all pregnancies occurred within the first 2 years of follow-up. Relief of pelvic pain was dramatic, especially following presacral neurectomy. Laparoscopic selection of cases further reinforces the importance of grading severity of endometriosis prior to embarking on restorative surgery. Presacral neurectomy, despite reinforcement of pain relief, did not appear to contribute significantly to the occurrence of pregnancy.
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- Endometriosis 2016
- Endometriosis 2011
- Unilateral versus bilateral adnexal disease in stage III and stage IV endometriosis does not affect pregnancy outcome after operative laparoscopy 2008
- Reproductive Surgery for Endometriosis-Associated Infertility 2008
- Endometriosis 2007
- The treatment of mild endometriosis with laser laparoscopy: a two-step treatment analysis of patients whose primary therapy was successful. 2006
- Presacral neurectomy for surgical management of pelvic pain associated with endometriosis: A descriptive review 2006
- Comparison of fecundity after second laparotomy for endometriosis to in vitro fertilization and embryo transfer. 2004
- Surgical management of endometriosis 2004
- An evidence-based evaluation of endometriosis-associated infertility 2003
- The success of laser laparoscopy in the treatment of endometriosis: a two-step analysis. 2001
- Surgical management of endometriosis 2000
- Infertility 2000
- Surgical treatment for chronic pelvic pain. 1999
- Pathophysiology of Endometriosis-Associated Infertility 1999
- Surgical Management of Pelvic Pain 1998
- Endometriosis and Pelvic Pain 1998
- Treatment of infertility associated with endometriosis 1998
- Endometriosis-associated infertility 1997
- The Efficacy and Complications of Laparoscopic Presacral Neurectomy in Pelvic Pain 1997
- Modern Approach to Endometriosis 1997
- Benefit of in vitro fertilization treatment for endometriosis-associated infertility 1996
- Laparoscopic electrocoagulation followed by danazol in subfertile women with endometriosis 1996
- Surgical Therapy of Endometriosis 1996
- Endometriosis: An Enigmatic Disease 1996
- Gynecology 1995
- Pain recurrence: A quality of life issue in endometriosis 1995
- Manejo quirúrgico conservador de la endometriosis con láser de C02 Vs manejo quirúrgico con video laparoscopia láser de C02 1995
- Laparoscopic treatment of chronic pelvic pain in 100 adult women 1995
- Adjunctive Procedures in Treatment of Endometriosis: LUNA, Presacral Neurectomy, and Uterine Suspension 1995
- Pathogenesis of Infertility in Endometriosis 1995
- 12 Advanced laparoscopic procedures for pelvic pain and dysmenorrhoea 1995
- Pathogenesis of Pelvic Pain in Endometriosis 1995
- The History of Surgical Treatment of Endometriosis 1995
- Treatment of Infertility Associated With Endometriosis 1995
- Surgical treatment of endometriosis-associated infertility: Meta-analysis compared with survival analysis 1994
- Towards an ecosystemic understanding of Endometriosis 1994
- Combined hysteroscopic and laparoscopic findings in patients with chronic pelvic pain 1994
- CYCLIC PELVIC PAIN AND DYSMENORRHEA 1993
- Dysmenorrhea and Chronic Pelvic Pain 1993
- Authors' reply 1993
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