Endométriose et stérilité : nouvelle approche diagnostique et thérapeutique par laparoscopie

H Frangenheim, Th. Frangenheim, N. Schroer, Margit Schröer
In: Acta Endoscopica · 1985 · vol. 15(1) , pp. 51–58 · doi:10.1007/bf02966114 · W2242186542
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

A 10-year study of 914 infertile patients found endometriosis in 32%, with 29% achieving pregnancy after treatment, and suggested pregnancy outcomes depend on other tubal lesions' extent.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper reports a 10-year analysis (1968–1977) of 914 cases of infertility established by laparoscopy, assessing the incidence of endometriosis and related pregnancy outcomes after surgical or hormonal therapy, including antigonadotropic treatment such as Danazol. Endometriosis was present in 32% of patients, and 29% of those with endometriosis achieved pregnancy following treatment. The authors conclude that endometriosis by itself does not influence the outcome of infertility treatment, and this finding also held when endometriosis co-occurred with other tubal disorders. They propose staging into incipient, moderate, and advanced disease, and report that conception chances in cases with additional tubal lesions were mainly determined by the extent and localization of adhesions. This paper is centrally about endometriosis — it evaluates laparoscopy-detected endometriosis in infertile patients and links pregnancy outcomes to disease stage and adhesion extent/location.

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Abstract

Les nouvelles possiblités de traitement de l’endométriose sont devenues possibles depuis l’introduction des hormones antigona-dotrophiques (Danazol). Une étude sur 10 ans (1968–1977) de 914 cas de stérilité établie par laparoscopie, montre une incidence de l’endométriose chez 32 % des patientes. Parmi ces cas, 29% présentent une grossesse après thérapeutique chirurgicale ou hormonale. L’endométriose par elle-même, comparée à d’autres causes de stérilité féminine, n’influence pas l’issue du traitement de la stérilité. Cette absence se retrouve si l’endométriose est associée a d’autres anomalies tubaires. Un classement de l’endométriose en 3 stades a été proposé : endométriose au début (stade I), modérée (stade II) et avancée (stadeIII). Les chances de grossesse en cas d’endométriose associée à d’autres lésions tubaires sont avant tout déterminées par l’extension et la localisation des adhérences.

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last seen: 2026-06-10T17:14:06.276822+00:00
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