Reproductive capacity and recurrence of disease after surgery for moderate and severe endometriosis – a retrospective single center analysis

Cordula Schippert, Yvonne Witte, Janina Bartels, Guillermo-José Garcia-Rocha, Matthias Jentschke, Peter Hillemanns, Sudip Kundu
In: Research Square · 2020 · doi:10.21203/rs.3.rs-24237/v2 · W4250636322
preprint OA: green CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

This retrospective study of 206 patients with moderate to severe endometriosis found a 21.8% recurrence rate and a 65.8% pregnancy rate among those desiring children.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This retrospective single-center study evaluated recurrence and pregnancy outcomes after surgical resection of stage III/IV endometriosis lesions (rASRM) in 456 operated patients (2004–2014), with 206 returning post-operative questionnaires for analysis. Most surgeries achieved complete lesion resection (90.8%), postoperative symptom relief was reported by 93.2%, recurrence was 21.8%, and 65.8% of patients who desired children became pregnant, with higher postoperative pregnancy and recurrence risks associated with age (age <35). The main limitation explicitly acknowledged by the authors is the limited response rate of 45.2%, introducing potential selection bias. This paper is centrally about endometriosis — it analyzes reproductive capacity and disease recurrence after surgery for moderate (stage III) and severe (stage IV) endometriosis.

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endometriosis

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