Laparoscopic treatment of symptomatic endometriosis

J L Pouly, Pouly JL, J ­L Pouly, Drolet J, Julie Drolet, J Drolet, Michel Canis, M Canis, S. Boughazine, Boughazine S, G. Mage, Mage G, M A Bruhat, Bruhat MA, MA Bruhat, Arnaud Wattiez, A Wattiez
Human Reproduction · 1996 · vol. 11(suppl 3) , pp. 67–88 · doi:10.1093/humrep/11.suppl_3.67 · PMID:9147103 · W2150850629
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Operative laparoscopy is the first-line treatment for endometriosis-associated infertility, with pregnancy rates around 50%, while GnRH analogues are used for extensive disease or assisted reproduction.

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Abstract

From their experience and from data in the literature, the authors try to define the respective place of the different treatments for endometriosis, especially those of operative laparoscopy. In cases of endometriosis-associated infertility, operative laparoscopy is the first line treatment and assisted reproductive technology (ART) the second one. Gonadotrophin-releasing hormone (GnRH) analogues are only useful in cases of extensive endometriosis to render surgery easier, and for ART. The average pregnancy rate following laparoscopic treatment is approximately 50% (range 34-80%). It is poorly related to the type of endometriosis except in cases of large adhesions and tubal involvement. However, duration of infertility, age and sperm quality have a direct influence on it. Therefore the authors propose a scheme for the management of endometriosis-associated infertility. In cases of pain, laparoscopic surgery can also be used; however, drugs have a more important role in these cases, to avoid recurrent surgery.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Infertility, Female Laparoscopy Pain Management Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Pain Pain Pregnancy

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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Cited by (24)

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