Endometriosis

Tommaso Falcone, Jeffrey M. Goldberg, K.F. Miller
In: Current Opinion in Obstetrics and Gynecology · 1996 · vol. 8(3) , pp. 178–183 · doi:10.1097/00001703-199606000-00005 · W2074897379
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Laparoscopic or laparotomy surgery improves pregnancy rates for moderate to severe endometriosis-associated infertility, while medical treatments offer no fecundity benefit and surgery is preferred for pain management.

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This editorial review evaluates the efficacy of medical and surgical interventions for endometriosis, focusing on infertility and pelvic pain management. The authors note that while surgery improves pregnancy rates in moderate to severe cases, it offers no benefit for minimal disease, and medical treatments do not enhance fecundity across any stage. For pain relief, both approaches are effective, though surgery avoids drug side effects and may reduce recurrence, while assisted reproductive technology yields comparable success rates to tubal factor infertility treatments. This paper is centrally about endometriosis — specifically evaluating the comparative outcomes of laparoscopic surgery versus medical therapy for associated infertility and chronic pelvic pain.

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Abstract

Pregnancy rates with endometriosis-associated infertility may be improved by laparoscopic surgery or laparotomy for moderate to severe disease. Surgery for minimal to mild disease does not increase pregnancy rates. Medical treatment has not been shown to increase fecundity for any stage of the disease. Pregnancy rates with assisted reproductive technology for endometriosis appear to be comparable with those for tubal disease that are also treated with assisted reproductive technology. Medical and surgical treatments for pelvic pain with endometriosis are both effective, but surgery avoids the side-effects associated with drugs and may result in a lower recurrence rate.
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EDITORIAL COMMENT: PDF Only Endometriosis medical and surgical intervention - Tommaso Falcone - Jeffrey M. Goldberg - Kurt F. Miller Current Opinion in Obstetrics & Gynecology 8(3):p 178-183, June 1996. Pregnancy rates with endometriosis-associated infertility may be improved by laparoscopic surgery or laparotomy for moderate to severe disease. Surgery for minimal to mild disease does not increase pregnancy rates. Medical treatment has not been shown to increase fecundity for any stage of the disease. Pregnancy rates with assisted reproductive technology for endometriosis appear to be comparable with those for tubal disease that are also treated with assisted reproductive technology. Medical and surgical treatments for pelvic pain with endometriosis are both effective, but surgery avoids the side-effects associated with drugs and may result in a lower recurrence rate. Copyright © Copyright © 1996 YEAR Wolters Kluwer Health, Inc. All rights reserved.

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Condition tags

endometriosisinfertility

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.

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