Pregnancy rates after laparoscopic treatment. Differences related to tubal status and presence of endometriosis.
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Abstract
OBJECTIVE: To examine how preexisting tubal adhesions and endometriosis affect pregnancy outcome after laparoscopic treatment in infertile women with no apparent causes of infertility other than tubal factors. STUDY DESIGN: Pregnancy outcomes in 186 infertile women for a follow-up period of 18 months after laparoscopy were analyzed. Laparoscopic manipulations consisted of adhesiolysis of tubes and removal of endometriotic lesions. RESULTS: The patients were classified into three groups, those with no tubal adhesions (group A, n = 83), unilateral tubal adhesions (group B, n = 46) and bilateral tubal adhesions with at least one tube patent (group C, n = 57). The cumulative pregnancy rate in group C (13.2%) was lower than in groups A (41.8%) and B (45.7%) 18 months after laparoscopy. The average time to conception in group A (6.7 +/- 0.8 months) tended to be shorter than that in group B (10.6 +/- 1.2 months). In group A, pregnancy rates were essentially the same between minimal/mild endometriosis and moderate/severe endometriosis. Regarding group B, women with minimal/mild endometriosis exhibited significantly higher pregnancy rates than those with moderate/severe endometriosis, while pregnancy rates in women without endometriosis fell in between. CONCLUSION: Pregnancy rates after laparoscopic treatment are different in relation to tubal status and the presence of endometriosis.
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Cited by (14)
- Modern view on fallopian tubes anatomy and function 2016
- Infertility Treatment of Endometriosis Patients 2014
- Endometriosis – Pathogenesis, Diagnosis, and Therapeutic Options for Clinical and Ambulatory Care 2013
- Reproductive Outcome After Surgical Treatment of Endometriosis – Retrospective Analytical Study 2013
- Endometriose - Entstehung, Diagnostik, Behandlungsmöglichkeiten und Probleme in Klinik und Praxis 2011
- Retrospective analysis of infertile women with endometriosis who underwent laparoscopic surgery 2009
- Grundlagen und Bedeutung der operativen Endometriosetherapie 2009
- Unilateral versus bilateral adnexal disease in stage III and stage IV endometriosis does not affect pregnancy outcome after operative laparoscopy 2008
- Treating fallopian tube occlusion with a manual pelvic physical therapy. 2008
- Deficiency of Immunophilin FKBP52 Promotes Endometriosis 2008
- FR 167653, a p38 mitogen-activated protein kinase inhibitor, suppresses the development of endometriosis in a murine model 2006
- Reproductive outcome after laparoscopic treatment of minimal and mild endometriosis using Helica Thermal Coagulator 2005
- Role of Laparoscopy in the Treatment of Endometriosis-Associated Infertility 2002
- Diagnostic and Operative Transvaginal Hydrolaparoscopy for Infertility and Pelvic Pain 2001
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