Comparison of the outcome of in vitro fertilization after laparoscopic laser ablation surgery versus laparoscopic cystectomy for endometrioma

Akie Takebayashi, Yoshihiko Shimizu, Akimasa Takahashi, Akiyoshi Yamanaka, Akiko Takashima, Fuminori Kimura, Nobuyuki Kita, Kentaro Takahashi, Takashi Murakami
In: Gynecology and Minimally Invasive Therapy · 2013 · vol. 2(1) , pp. 27–29 · doi:10.1016/j.gmit.2012.12.005 · W1973109003
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Laparoscopic laser ablation of ovarian endometriomas resulted in significantly lower fertilization rates and lower, though not significant, implantation and pregnancy rates compared to laparoscopic cystectomy before IVF.

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Abstract

To compare the influence of laparoscopic ablation surgery or cystectomy for endometrioma on the ovaries with respect to the results of in vitro fertilization (IVF). Fifteen patients who had not achieved spontaneous pregnancy following KTP laser ablation surgery for ovarian endometrioma and who wanted to undergo IVF formed the ablation group. Another 12 infertile women who failed to achieve spontaneous pregnancy following laparoscopic cystectomy for ovarian endometrioma and underwent IVF formed the cystectomy group. Both groups of patients were reviewed retrospectively. The fertilization rate was significantly lower in the ablation group compared with the cystectomy group. The percentage of good-quality embryos and the implantation rate were also lower, although not significantly, in the ablation group than the cystectomy group. Even though the number of embryos transferred was higher, the pregnancy rate was lower in the ablation group. These results suggest that the quality of oocytes may be lower in the ablation group than the cystectomy group.

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endometrioma

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