Randomized controlled trial of superovulation and insemination for infertility associated with minimal or mild endometriosis
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This randomized controlled trial investigated whether superovulation and insemination improve pregnancy rates in women with minimal or mild endometriosis.
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Abstract
OBJECTIVE: To evaluate the efficacy of superovulation and IUI versus no treatment for infertility associated with minimal or mild endometriosis.
DESIGN: Randomized trial.
SETTING(S): London Health Sciences Centre, University Campus, The University of Western Ontario, London, Ontario; and Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada.
PATIENT(S): Three hundred eleven cycles in 103 couples in whom minimal or mild endometriosis was the sole identified subfertility factor.
INTERVENTION(S): Superovulation with FSH and IUI.
MAIN OUTCOME MEASURE(S): Live birth.
RESULT(S): Live birth followed 14 of 127 (11%) superovulation and IUI cycles and 4 of 184 (2%) no-treatment cycles. The odds ratio was 5.6 (95% confidence interval 1.8 to 17.4) in favor of superovulation and IUI.
CONCLUSION(S): Treatment with superovulation and IUI was associated with superior outcome both by crude live-birth rates and proportional hazard analysis.
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- Evidence based management of patients with endometriosis undergoing assisted conception: British fertility society policy and practice recommendations 2024
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- The Impact of Laparoscopic Surgery on Fertility Outcomes in Patients with Minimal/Mild Endometriosis 2024
- Intrauterine Insemination in Women with Endometriosis 2024
- Endometriosis - A Medical Challenge: Impact on Fertility and Treatment Method 2024
- Human genetics and assisted reproduction in endometriosis 2023
- Endometriosis and infertility 2023
- Reproductive outcome and gynecologic comorbidities in women with endometriosis in a non-IVF setting: a retrospective study 2023
- Pathophysiology, diagnosis, and management of endometriosis 2022
- Endometriosis and Infertility: A Long-Life Approach to Preserve Reproductive Integrity 2022
- Endometriosis-associated infertility: From pathophysiology to tailored treatment 2022
- Endometriosis in Reproductive Years: ART and Endometriosis 2022
- Ovulation induction with clomiphene citrate or letrozole following laparoscopy in infertile women with minimal to mild endometriosis: a prospective randomised controlled trial 2021
- Impact of endometriosis on female fertility and the management options for endometriosis-related infertility in reproductive age women: a scoping review with recent evidences 2021
- Endometriosis 2021
- Endometriozisli hastalarda ovulasyon indüksiyonu ajanı olarak letrozol ve gonedotropinlerin karşılaştırılması: prospektif randomize çalışma 2020
- Endometriosis Associated Infertility: A Critical Review and Analysis on Etiopathogenesis and Therapeutic Approaches 2020
- Classification algorithm of patients with endometriosis: Proposal for tailored management 2020
- Management of endometriosis-related infertility: Considerations and treatment options 2020
- Updated guideline for clinical evaluation and management of endometriosis 2019
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- When more is not better: 10 'don'ts' in endometriosis management. An ETIC * position statement 2019
- Endometriosis 2019
- Chapitre 6 : Prise en charge médicale de l'infertilité associée à l'endométriose 2019
- Human Genetics and Assisted Reproduction in Endometriosis 2018
- Female Reproductive Pathology 2018
- Clinical Management of Endometriosis 2018
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- The Role of GnRH Analogues in Improving Outcome in Women Undergoing Superovulation and Intrauterine Insemination after Surgical Correction of Mild Endometriosis: A Randomized Controlled Trial 2018
- Endometriosis and Infertility Management 2018
- Clinical Management of Endometriosis 2018
- [First line management without IVF of infertility related to endometriosis: Result of medical therapy? Results of ovarian superovulation? Results of intrauterine insemination? CNGOF-HAS Endometriosis Guidelines] 2018
- Surgical outcomes of laparoscopic endometriosis surgery: a 6 year experience 2017
- Use of the endometriosis fertility index in daily practice: A prospective evaluation 2017
- Endometriose und Kinderwunsch – was nun? 2017
- Management of Infertility in Women with Endometriosis 2017
- From Endometriosis to Pregnancy: Which is the “Road-Map”? 2017
- Endometriosis 2017
- ART in Endometriosis 2017
- Non-ART pregnancy predictive factors in infertile patients with peritoneal superficial endometriosis 2017
- Endometriosis 2017
- Die medikamentöse Therapie der Patientin mit Endometriose 2017
- Pregnancy Rates after Intrauterine Insemination in Moderate to Severe Endometriosis: A Systematic Review and Meta-analysis of Observational Studies 2017
- Pre-conception Risk Assessment: Gynaecological Problems 2016
- Aromatase Inhibitors for Endometriosis-Associated Infertility; Do We Have Sufficient Evidence? 2016
- Aromatase inhibitors in the treatment of endometriosis 2016
Source provenance
- europepmc
- last seen: 2026-10-10T06:11:15.153948+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T22:00:22.376048+00:00
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