Laparoscopic surgery improves pregnancy outcomes in women with suspected endometriosis with or without pathological confirmation.
Clin Exp Obstet Gynecol
; 43(1): 31-6, 2016.
Article
in En
| MEDLINE
| ID: mdl-27048014
ABSTRACT
PURPOSE OF THE INVESTIGATION To verify whether histologic confirmation of endometriosis impacts fertility outcomes. MATERIALS AND METHODS:
Women with unexplained infertility (UI) underwent laparoscopic excision or ablation with CO2 laser or electrocautery of all suspected endometriotic lesions, followed by clinical treatment between January 2007 and December 2013; pregnancy (> 12 weeks) within 12 months of monitored cycles was the main outcome measured.RESULTS:
Women with histological confirmation (n = 74) did not differ from those not confirmed (n = 29) with age, body mass index, gravidity, parity, ovulation induction protocol, and past duration of infertility. Pregnancy outcome was similar in both groups (39/74 vs. 15/29-p = 0.9--Chi-square) and there was no statistical difference in time to conceive/deliver (p = 0.7) between groups.CONCLUSIONS:
There is no difference in fertility outcomes in women with UI, whether or not suspected endometriosis is confirmed pathologically.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pregnancy Complications
/
Gynecologic Surgical Procedures
/
Laparoscopy
/
Endometriosis
/
Infertility, Female
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Guideline
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Clin Exp Obstet Gynecol
Year:
2016
Document type:
Article