Endométriomes ovariens : effet de la kystectomie laparoscopique sur la réponse ovarienne en fécondation in vitro

Chadi Yazbeck, C Yazbeck, Madelenat P, P Madélénat, P Madelenat, C Sifer, Sifer C, Hazout A, A Hazout, Poncelet C, C Poncelet
Gynecologie, obstetrique & fertilite · 2006 · vol. 34(9) , pp. 808–812 · doi:10.1016/j.gyobfe.2006.07.003 · PMID:16920378 · W2081551184
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This study investigated the impact of laparoscopic cystectomy for ovarian endometriomas on ovarian response to in vitro fertilization.

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Abstract

ObjectiveTo investigate the follicular response to controlled ovarian hyperstimulation (COH) in IVF-ET cycles after laparoscopic ovarian cystectomy for large endometriomas.Patients and methodsIn the set of a retrospective controlled study, the medical records of 113 infertile women who underwent IVF-ET cycles after laparoscopic surgery were reviewed. The study group (A) consisted of 63 patients with severe pelvic endometriosis and endometrioma excision. The control group (B) consisted of 50 infertile patients with mild or minimal endometriosis. Interventions were laparoscopic ovarian cystectomy in the study group, and COH in both groups.ResultsGroups A and B were not different in terms of epidemiologic data. The total numbers of recruited follicles (9.1+/-3.3 vs 10.6+/-4.2; P = 0.001), mature follicles (> or =16 mm) (4.2+/-1.7 vs 4.8+/-2.2; P = 0.04), mature oocytes retrieved (5.8+/-3.8 vs 7.4+/-4.6; P = 0.02), and fertilization rate (48.9+/-34.9 vs 61.8+/-32.1%; P = 0.02) observed in group A were lower than those observed in group B, respectively. While the mean number of rFSH ampoules (75 IU) was increased in group A (38.1+/-20.4) compared to group B (29.3+/-16.4; P = 0.004), cumulative pregnancy rates were similar in both groups (27.5+/-8.8% vs 37.2+/-10.6%; P = 0.37).Discussion and conclusionsOvarian response was reduced during IVF-ET cycles in patients with history of severe endometriosis and laparoscopic excision of endometriomas compared to women with mild or minimal endometriosis without ovarian surgery.

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Condition tags

endometriosis

MeSH descriptors

Embryo Transfer Endometriosis Fertilization in Vitro Laparoscopy Ovarian Diseases Adult Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Infertility, Female Ovarian Diseases Ovarian Diseases Ovarian Follicle Ovarian Follicle Ovulation Induction Retrospective Studies Treatment Outcome

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References (31)

Cited by (27)

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