Laparoscopic cautery in the treatment of endometriosis-related infertility.
Life table analysis and the two-parameter exponential method have been applied to pregnancy rates in 72 patients undergoing laparoscopic cautery exclusively. Patients with male factor infertility were excluded. Estimated cure rates for patients with stage I and II disease were 98.2% and 76.6%, respectively (not significantly different). No significant difference was seen when anovulation complicated the endometriosis (68.6%). When greater than one infertility factor was present, a significant difference was observed (50.6%). Patients with stage I disease had an average fecundity of 10.30% with decreasing values observed in stage II (7.59%), anovulation (6.67%), and more than one infertility factor (3.33%). We conclude that laparoscopic cauterization is an effective mode of therapy for the treatment of stage I and II endometriosis associated with infertility.
Murphy
A A
AA
Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland.
Schlaff
W D
WD
Hassiakos
D
D
Durmusoglu
F
F
Damewood
M D
MD
Rock
J A
JA
D000328:Adult; D000858:Anovulation / Q000150:complications; D002425:Cautery; D004715:Endometriosis / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology*; D010535:Laparoscopy; D015993:Life Tables; D011247:Pregnancy; D012189:Retrospective Studies