Gonodotropine releasing hormone agonist plus laparoscopic surgery in different subgroups of endometriosis

【Objective】To assess the therapy of laparoscopic ovarian cyst enucleation, burn and adhesiotomyplus gonodotropine releasing hormone agonist (GnRH- a) in different subgroups of Endometriosis (EMT). 【Methods】76 cases with EMT and infertility who accepted laparoscopic surgery (LS) were divided into mild and severe groupsaccording to r- AFS Criteria for EMT, and followed up 1 year. Moreover, two groups were divided into therapeuticsubgroup (LS plus GnRH- a) and control subgroup (LS). Data of remission, recurrence and pregnancy after treatmentwere collected and analyzed. 【Results】There was not significant difference in the ratios of remission, recurrenceand pregnancy between control and therapy subgroups in mild EMT group. The same results of remission and recur-rence happened to severe EMT group, however, a high ratio of pregnancy was revealed. 【Conclusions】LS plusGnRH- a may increase the opportunity of pregnancy in severe EMT. It was a doubt to adopt the therapy of LS plusGnRH- a for pregnancy in mild EMT.