Laparoscopic Treatment of Endometrioma-Associated Infertility and Pregnancy Outcome

Naoyuki Takuma, Kazuo Sengoku, Bochen Pan, Keiko Wada, Tomofumi Yamauchi, Toshinobu Miyamoto, Daisuke Ohsumi, Mutsuo Ishikawa
Gynecologic and obstetric investigation · 2002 · vol. 54(Suppl. 1) , pp. 30–35 · doi:10.1159/000066292 · PMID:12441658 · W2036602831
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study investigated laparoscopic treatment of endometriosis-associated infertility, finding fenestration with electrocoagulation superior for natural conception and ethanol fixation better for IVF-ET outcomes.

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Abstract

Ovarian endometriomas do not respond well to medical treatment with hormonal suppression, and surgical removal of the endometriomas is usually required. In this study, we attempt to identify the optimal laparoscopic procedures in laparoscopic treatment of ovarian-endometrioma-associated infertility. Among cases in which patients received no IVF-ET after the laparoscopic treatment, the pregnancy rate after complete cystectomy of endometriomas was statistically lower than that after fenestration with electrocoagulation of the cyst wall. Among cases in which patients received IVF-ET, there was no difference in ovarian response between patients that had complete cystectomy and fenestration with electrocoagulation of the cyst wall. However, the pregnancy rate in patients who had aspiration alone was statistically lower than that in patients who had aspiration followed by ethanol fixation. Thus, it appears that for patients who do not require follow-up IVF-ET, fenestration with electrocoagulation of the cyst wall is suitable, whereas for patients who need follow-up IVF-ET, ethanol fixation may be a better choice.

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Condition tags

endometriosisendometriomainfertility

MeSH descriptors

Endometriosis Endometriosis Infertility, Female Infertility, Female Laparoscopy Pregnancy Outcome Adult Electrocoagulation Embryo Transfer Endometriosis Ethanol Ethanol Female Fertilization in Vitro Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Infertility, Female Laparoscopy Ovarian Diseases

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (23)

Cited by (9)

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