Fertility performance and the predictive value of the endometriosis fertility index staging system in women with recurrent endometriosis

Yong Zhou, Li Lin, Zhengyun Chen, Yuan Wang, Chaolu Chen, Enchun Li, Ruijin Wu
Medicine · 2019 · vol. 98(39) , pp. e16965 · doi:10.1097/md.0000000000016965 · PMID:31574795 · W2975161738
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This study found that the endometriosis fertility index (EFI) score strongly predicts postoperative pregnancy in women with recurrent endometriosis, with scores ≥5 indicating a significantly higher chance of conception.

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Abstract

This study presents the postoperative pregnancy rate of women with recurrent endometriosis and evaluates the predictive value of the endometriosis fertility index (EFI) for the pregnancy.A total of 107 women who wished to conceive after surgery for recurrent endometriosis from January 2007 to December 2016 were included. The EFI score was calculated postoperatively. The receiver operator characteristic (ROC) curve was plotted to determine the most promising contributor to predicting pregnancy, and Kaplan-Meier (K-M) analysis was used to estimate the cumulative pregnancy rate (CPR).A total of 61 pregnancies were registered in 58 women and the remaining 49 patients failed to become pregnant. The EFI score was strongly associated with the postoperative fertility prognosis. The CPRs during the first 2 and 3 years postoperatively were 51.86% and 66.38%, respectively, and increased to 71.98% within the first 5 years postoperatively in patients with EFI scores ≥5. However, the CPR was 26.00% during the first 2 years after surgery in individuals with EFI scores <5, and there was no increase in the CRP thereafter.Women suffering from recurrent endometriosis still experienced a probability of natural pregnancy, especially patients with EFI scores ≥5. The EFI score had good predictive power for postoperative pregnancy in these patients.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Fertilization Body Mass Index Endometriosis Endometriosis Female Follow-Up Studies Humans Infertility, Female Infertility, Female Infertility, Female Infertility, Female Kaplan-Meier Estimate Predictive Value of Tests Pregnancy Pregnancy Rate Recurrence Reproductive Techniques, Assisted Retrospective Studies ROC Curve

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References (23)

Cited by (7)

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