Reproductive Outcome After Surgical Treatment of Endometriosis – Retrospective Analytical Study

Ginekologia polska · 2013 · vol. 84(12) , pp. 1041–4 · doi:10.17772/gp/1677 · PMID:24505952 · W2054034873
article OA: gold CC0 ⤵ 7 in-corpus citations
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This retrospective study analyzed 52 infertile women after endometriosis surgery, finding 44% achieved pregnancy, with outcomes linked to endometriosis stage but not bilaterality.

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The provided text consists of a title followed by unrelated snippets covering pediatric heart rates, immune cells, labor induction, hormonal markers, emotional deprivation, liver function, and lubricants. There is no actual research data, methodology, or findings associated with the stated title regarding reproductive outcomes after endometriosis surgery. The content appears to be a collection of generic medical articles or blog posts rather than the specific retrospective analytical study indicated. Relevance to endometriosis: The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

OBJECTIVE: The aim of the study was to investigate the reproductive outcomes of patients after surgical treatment of endometriosis. MATERIAL AND METHODS: The study included 100 infertile women, aged 21 to 41 years, who underwent surgical treatment of endometriosis. From January 2007 to January 2012, excision of endometriosis was performed by operative laparoscopy or laparotomy Demographic, clinical, surgical and reproductive outcomes of 52 patients were retrospectively analyzed. RESULT: Twenty-three pregnancies (44%) were obtained in 52 patients, resulting in 16 term pregnancies, 4 spontaneous abortions under 16 weeks gestation, 2 spontaneous abortions at 20 gestational weeks and 1 ectopic pregnancy Twenty nine patients did not achieve pregnancy and 68.9% (20/29) of them were treated with IVF-ICSI. Spontaneous pregnancies were obtained within 7 months after the surgery whereas IVF-ICSI pregnancies were obtained within the period of 11 months. Seven patients were stage 1, 14 patients stage II, 19 patients stage III, and 12 patients stage IV according to the American Fertility Society (AFS) Classification of Endometriosis. The pregnancy rate was 57% in stages I-II, 47% in stage III, 16% in stage IV endometriosis; and the rate of term pregnancies was 83%, 66%, and 0%, respectively Seven pregnancies (7/14) were obtained in patients with bilateral endometriosis and 5 of them resulted in term pregnancy Sixteen pregnancies (16/38) were obtained in patients with unilateral endometriosis and 11 of them resulted in term pregnancy CONCLUSION: After surgical treatment of endometriosis, the pregnancy and live birth rates seem to be improved. Reproductive outcome is closely associated with the AFS score. Bilaterality of endometriosis does not affect pregnancy outcome.
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Condition tags

endometriosis

MeSH descriptors

Endometriosis Gravidity Infertility, Female Live Birth Pregnancy Outcome Stillbirth Adult Endometriosis Female Humans Infertility, Female Laparoscopy Live Birth Pregnancy Pregnancy Outcome Retrospective Studies Stillbirth Treatment Outcome Young Adult

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