Long‐term cumulative pregnancy rate in women with unexplained infertility after laparoscopic surgery followed by in vitro fertilization or in vitro fertilization alone
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This study found that laparoscopy followed by IVF did not significantly increase the cumulative pregnancy rate compared to IVF alone in women with unexplained infertility.
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Abstract
AIMS: Laparoscopy has been performed in women with unexplained infertility, but the recent trend is to commence in vitro fertilization (IVF) without prior laparoscopy. The aim of this study was to determine whether or not laparoscopic surgery is necessary for these patients. MATERIAL & METHODS: With a diagnosis of unexplained infertility, 51 women underwent laparoscopic surgery followed by IVF (laparoscopy group) and 41 women underwent IVF without prior laparoscopy (IVF group). We reviewed these two groups retrospectively and evaluated the cumulative pregnancy rate. RESULTS: In the laparoscopy group, 16 of the 51 women became pregnant spontaneously soon after surgery. Twenty-three patients became pregnant with IVF. In the IVF group, 32 patients became pregnant with IVF. Two of the 41 women became pregnant spontaneously while waiting to commence IVF. CONCLUSION: Laparoscopy should be offered as an option for younger patients who desire spontaneous pregnancy because there was no significant difference of the cumulative pregnancy rate between the groups.
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Cites (4)
- Laparoscopic Surgery in Infertile Women with Minimal or Mild Endometriosis 1997
- The role of laparoscopy in intrauterine insemination: a prospective randomized reallocation study 2005
- Infertility surgery is dead: only the obituary remains? 2007
- Laparoscopy in women with unexplained infertility: a cost-effectiveness analysis 2008
Cited by (4)
- Guideline No. 435: Minimally Invasive Surgery in Fertility Therapy 2023
- Directive clinique no 435 : Chirurgie minimalement invasive dans les traitements de fertilité 2023
- Laparoscopy and the Era of ART in Unexplained Primary Infertility: Randomized Clinical Trial 2019
- Inpatient hospitalizations in women with and without assisted reproductive technology live birth 2017
References (7)
- Infertility surgery is dead: only the obituary remains? via openalex
- Laparoscopic Surgery in Infertile Women with Minimal or Mild Endometriosis via openalex
- Laparoscopy in women with unexplained infertility: a cost-effectiveness analysis via openalex
- The role of laparoscopy in intrauterine insemination: a prospective randomized reallocation study via openalex
- doi:10.1093/humrep/deg034 via openalex
- doi:10.1016/j.fertnstert.2004.07.974 via openalex
- doi:10.1016/j.fertnstert.2003.07.023 via openalex
Cited by (4)
- Guideline No. 435: Minimally Invasive Surgery in Fertility Therapy 2023
- Directive clinique no 435 : Chirurgie minimalement invasive dans les traitements de fertilité 2023
- Laparoscopy and the Era of ART in Unexplained Primary Infertility: Randomized Clinical Trial 2019
- Inpatient hospitalizations in women with and without assisted reproductive technology live birth 2017
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