Does minimal endometriosis reduce fecundity?
Twenty-one patients with minimal endometriosis treated with artificial insemination with donor semen (AID) because of male sterility were compared with 40 patients with the same degree of endometriosis treated by "expectant management" (EM). The conception response of both groups was analyzed with the life-table method calculating the monthly fecundity rate (MFR), and the cumulative pregnancy rate (CPR). Both groups were similar in terms of woman's age and length of infertility before diagnosis. The results obtained after the 12th month showed that the group treated with AID had a CPR of 80.9% and an MFR of 0.201, much higher than the group treated with EM, in which the CPR was 47.5% and the MFR 0.060. The results of the fecundity rate of the AID-treated group was comparable to that of normal population.
Rodriguez-Escudero
F J
FJ
Department of Obstetrics and Gynecology, University of Pais Vasco, Hospital de Cruces, Baracaldo, Vizcaya, Spain.
Neyro
J L
JL
Corcostegui
B
B
Benito
J A
JA
D000328:Adult; D004715:Endometriosis / Q000150:complications* / Q000628:therapy; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology*; D007316:Insemination, Artificial, Heterologous