Laparoscopic Assessment and Occurrence of Endometriosis in Women Experiencing Infertility: A Forward-Looking Study

Maysoon Sami Khraibet, Nadia Ridha Atiyah, Tuorkia Sheerza Aziez
In: Academia Open · 2024 · vol. 9(2) · doi:10.21070/acopen.9.2024.10335 · W4406038992
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This prospective study found that among 100 infertile women, laparoscopy diagnosed endometriosis in 12, with surgical intervention leading to successful pregnancies in 66.66% of those with ovulatory success.

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This forward-looking study evaluated women with infertility who subsequently underwent diagnostic laparoscopy to assess for endometriosis, with preoperative history capturing symptom duration, comorbidities, and infertility length. Among 100 participants, endometriosis was found in 12 patients (11.5%), with the ovaries being the most common affected site in all cases; surgeries included cystectomy, endometrioma drainage/fulguration, and adhesiolysis. The paper reports that among patients who achieved successful ovulation after laparoscopic surgery, 66.66% completed pregnancies, including both spontaneous and assisted reproductive technique–related outcomes, while noting a limitation inherent to the design in that outcomes are reported in a relatively small subgroup with endometriosis. This paper is centrally about endometriosis — it uses laparoscopy to diagnose and surgically manage endometriosis in infertile women and reports pregnancy outcomes.

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Abstract

Background: Endometriosis is characterized by the presence of endometrial tissue outside the uterus There are no definitive signs or symptoms associated with endometriosis, and its presentation can be different based on the affected areas. It is a prevalent cause of various degree of infertility among younger women. The management approach of endometriosis may involve both medical and surgical therapy. Laparoscopic procedures have shown promising results in enhancing fertility prospects for young women suffering from endometriosis. Methods: This study included women diagnosed with endometriosis after experiencing infertility. A comprehensive history was taken, focusing on symptom duration, any additional co-morbidities, and the length of infertility. All patients underwent diagnostic laparoscopy. Based on the site and severity of the endometriosis, procedures such as adhesiolysis, excision, and ablation of endometrial lesions were performed. Patients were monitored, and instances of successful pregnancies (both spontaneous and those resulting from assisted reproductive techniques) were documented. Results: Among the 100 cases studied, endometriosis was identified in 12 patients (11.5%). The most frequently affected age group was 26-30 years (47.83%). A total of 9 patients (78.26%) had primary infertility, while the remaining 5 patients (21.74%) experienced secondary infertility. The ovaries were the most commonly affected site, involved in all cases. Surgical interventions performed included cystectomy (30.43%), endometrioma drainage and fulguration (13.04%), and adhesiolysis (34.78%). Of the 9 patients who achieved successful ovulation following laparoscopic surgery, 6 (66.66%) went on to complete their pregnancies successfully. Conclusions: Laparoscopic procedures for infertility provide both diagnostic and therapeutic benefits and yield favorable outcomes concerning successful pregnancies. Highlights: Endometriosis impacts fertility: Laparoscopy is crucial for diagnosis and treatment. Surgical interventions: Enhance fertility by addressing endometrial lesions. Study focus: Infertile women, ages 18-40, with laparoscopy-confirmed endometriosis. Keywords: Endometriosis, Infertility, Laparoscopy, Reproductive Health, Surgical Intervention
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Abstract

Background: Endometriosis is characterized by the presence of endometrial tissue outside the uterus There are no definitive signs or symptoms associated with endometriosis, and its presentation can be different based on the affected areas. It is a prevalent cause of various degree of infertility among younger women. The management approach of endometriosis may involve both medical and surgical therapy. Laparoscopic procedures have shown promising results in enhancing fertility prospects for young women suffering from endometriosis. Methods: This study included women diagnosed with endometriosis after experiencing infertility. A comprehensive history was taken, focusing on symptom duration, any additional co-morbidities, and the length of infertility. All patients underwent diagnostic laparoscopy. Based on the site and severity of the endometriosis, procedures such as adhesiolysis, excision, and ablation of endometrial lesions were performed. Patients were monitored, and instances of successful pregnancies (both spontaneous and those resulting from assisted reproductive techniques) were documented. Results: Among the 100 cases studied, endometriosis was identified in 12 patients (11.5%). The most frequently affected age group was 26-30 years (47.83%). A total of 9 patients (78.26%) had primary infertility, while the remaining 5 patients (21.74%) experienced secondary infertility. The ovaries were the most commonly affected site, involved in all cases. Surgical interventions performed included cystectomy (30.43%), endometrioma drainage and fulguration (13.04%), and adhesiolysis (34.78%). Of the 9 patients who achieved successful ovulation following laparoscopic surgery, 6 (66.66%) went on to complete their pregnancies successfully. Conclusions: Laparoscopic procedures for infertility provide both diagnostic and therapeutic benefits and yield favorable outcomes concerning successful pregnancies. Highlights: - Endometriosis impacts fertility: Laparoscopy is crucial for diagnosis and treatment. - Surgical interventions: Enhance fertility by addressing endometrial lesions. - Study focus: Infertile women, ages 18-40, with laparoscopy-confirmed endometriosis.

Keywords

Endometriosis, Infertility, Laparoscopy, Reproductive Health, Surgical Intervention Downloads

References

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