Reproductive outcome after laparoscopic treatment of endometriosis.
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Laparoscopic treatment of endometriosis resulted in a 64.4% pregnancy rate among infertile women, with the highest rates occurring within six months post-surgery, influenced by adnexal adhesions and tubal status.
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Abstract
PURPOSE OF INVESTIGATION: To evaluate the pregnancy rate after laparoscopic treatment of endometriosis. PATIENTS AND METHODS: 47 infertile women undergoing laparoscopic treatment of endometriosis. RESULTS: rAFS stage was as follows: 11% of patients had Stage I, 11% Stage II, 53.3% Stage III and 24.4% Stage IV. The mean duration of follow-up was 48.5 +/- 18.44 months. The overall pregnancy rate was 64.4%. Eighteen out of 26 women (69%) became pregnant within six months after laparoscopy, 23% at 12 months, 11% within 24 months, and 11% after two years (p < 0.01). Adnexal adhesions and tubal status significantly affected the pregnancy rate. No differences were found regarding the stage of disease and the presence of ovarian endometriomas. CONCLUSION: Laparoscopic treatment of endometriosis enhances fertility and the pregnancy rate is highest within the first six months after surgery. Adnexal adhesions and tubal conditions influence the reproductive outcome.
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References (5)
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- Immunologic Aspects of Endometriosis via openalex
- W191943144 via openalex
- W2016019447 via openalex
- W2086091410 via openalex
Cited by (17)
- Reproductive outcome after laparoscopy for stage I and stage II endometriosis 2022
- Endometriosis and pelvic pain 2021
- Role of Laparoscopy in Diagnosis and Treatment of Endometriosis Associated with Infertility: A Prospective Analysis 2021
- Effects of Breastfeeding on Endometriosis-Related Pain: A Prospective Observational Study 2021
- Endometriosis and Pregnancy: A Single Institution Experience 2020
- Laparoscopic surgery with urinary tract reconstruction and bowel endometriosis resection for deep infiltrating endometriosis 2018
- Effect of induced peritoneal endometriosis on oocyte and embryo quality in a mouse model 2014
- Impaired uterine artery flow associated with the presence of ovarian endometrioma: preliminary results of a prospective study 2014
- Robot-assisted laparoscopy for deep infiltrating endometriosis: international multicentric retrospective study 2014
- Reproductive Outcome After Surgical Treatment of Endometriosis – Retrospective Analytical Study 2013
- Endométriose et fertilité postopératoire. Étude prospective d’après les données de la cohorte Auvergne 2011
- Fertilité des patientes présentant une endométriose traitées par cœlioscopie et AMP 2010
- Infertilité du couple : de l’interrogatoire à l’orientation thérapeutique 2009
- Laparoscopic treatment of endometriosis focusing on fertility outcomes 2008
- Role of Laparoscopic Surgery in Endometriosis Associated Infertility— Literature Review 2008
- Fertilité après chirurgie cœlioscopique de l'endométriose pelvienne chez des patientes en échec de grossesse 2007
- Fertility after laparoscopic colorectal resection for endometriosis: preliminary results 2005
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