Health and fertility outcomes among women surgically treated for endometriosis

Ronald E. Batt, Batt Re, R E Batt, Germaine M. Buck Louis, G M Buck, Buck GM, Smith RA, R A Smith, Richard A. Smith
The Journal of the American Association of Gynecologic Laparoscopists · 1997 · vol. 4(4) , pp. 435–442 · doi:10.1016/s1074-3804(05)80035-0 · PMID:9224576 · W2076410644
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This study investigated health and fertility outcomes in women who underwent surgical treatment for endometriosis.

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Abstract

Study objectiveTo assess health and fertility status among women after surgical treatment of endometriosis.DesignProspective study.SettingCommunity-based gynecologic specialty practice.PatientsTwo hundred ninety women with newly diagnosed endometriosis.Measurements and main resultsMedical records of all women were abstracted at baseline; self-administered questionnaires were used to collect follow-up data. Most women (68-79%) reported some or great improvement in symptomology after surgical treatment. One hundred twenty-four (53%) of 232 women reported one or more pregnancies, two-thirds of which resulted in live births. Secondary sex ratios were below 1 (range 0.92-0.50), reflecting a female excess. Logistic regression analysis identified previous live birth as the only significant predictor of pregnancy after surgery; advancing maternal age significantly decreased the likelihood of a live birth.ConclusionsOverall, these women reported improvement in symptoms at follow-up. Operative and clinical findings were not significant predictors of pregnancy likelihood. Prior live birth conferred more than a twofold increase in pregnancy likelihood, whereas advancing age decreased the likelihood. Reasons for reversed sex ratios are unknown but warrant further study.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Fertility Laparoscopy Adult Electrosurgery Endometriosis Endometriosis Female Humans Maternal Age Pregnancy Pregnancy Outcome Prospective Studies Regression Analysis Sex Ratio

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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