Expectant Treatment Versus Conservative Treatment in the Management of Mild Endometriosis

P C Wong, S H Heng, J Kumar, Jothi Kumar MBBS, E L Tan, S C Yeoh, S S Ratnam
Asia-Oceania journal of obstetrics and gynaecology · 1986 · vol. 12(1) , pp. 43–47 · doi:10.1111/j.1447-0756.1986.tb00159.x · PMID:3718340 · W1983869876
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This retrospective study of 157 subfertile women with mild endometriosis found a non-significant trend towards higher pregnancy rates in untreated patients compared to those receiving conservative surgery or medical therapy.

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Abstract

Abstract This is a retrospective analysis of 157 subfertile patients with mild endometriosis confirmed at laparoscopy. 80.3% of them were Chinese and the Malays and Indians accounted for 8.9% and 8.3% of the cases respectively. Most of the patients were in the 25–29 patients year old age group and their mean duration of subfertility was 4.3 years. Ninety‐five patients were treated by either conservative surgery or medical therapy with norethisterone or danazol. The pregnancy rate' was 29.5%. 82% of these pregnancies occurred within 18 months after completion of treatment. 62 patients were not treated. The pregnancy rate was 38.7% and all of them conceived within 18 months from confirmation of diagnosis. Although the untreated group had more pregnancies, the difference was not statistically significant. The authors propose that subfertile patients with mild endometriosis should not be treated but followed up for 18 months. Those who fail to conceive after this period may then be treated.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Fertility Adult Endometriosis Endometriosis Female Humans Retrospective Studies

Citation neighborhood

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