Pregnancy rates after laparoscopic treatment. Differences related to tubal status and presence of endometriosis

Maruyama M, Masashi Maruyama, M Maruyama, Yutaka Osuga, Osuga Y, Y Osuga, M Momoeda, Momoeda M, T Yano, Yano T, Tomone Yano, Osamu Tsutsumi, O Tsutsumi, Tsutsumi O, Yojiro Taketani, Taketani Y, Y. Taketani
The Journal of reproductive medicine · 2000 · vol. 45(2) , pp. 89–93 · PMID:10710736 · W29832176
Other OA: closed CC0 ⤵ 14 in-corpus citations
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Pregnancy rates after laparoscopic treatment for infertility were lower in women with bilateral tubal adhesions compared to those with no or unilateral adhesions, and were affected by endometriosis severity, especially in unilateral adhesion cases.

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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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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Fallopian Tube Diseases Infertility, Female Laparoscopy Laparoscopy Adult Adult Endometriosis Endometriosis Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tubes Fallopian Tubes Fallopian Tubes Female Female Follow-Up Studies Follow-Up Studies Humans Humans

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