title: Health and fertility outcomes among women surgically treated for endometriosis.
abstract: OBJECTIVE
  To assess health and fertility status among women after surgical treatment of endometriosis.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Community-based gynecologic specialty practice.
  
  
  METHODS
  Two hundred ninety women with newly diagnosed endometriosis.
  
  
  RESULTS
  Medical records of all women were abstracted at baseline; self-administered questionnaires were used to collect follow-up data. Most women (68-79%) reported some or great improvement in symptomology after surgical treatment. One hundred twenty-four (53%) of 232 women reported one or more pregnancies, two-thirds of which resulted in live births. Secondary sex ratios were below 1 (range 0.92-0.50), reflecting a female excess. Logistic regression analysis identified previous live birth as the only significant predictor of pregnancy after surgery; advancing maternal age significantly decreased the likelihood of a live birth.
  
  
  CONCLUSIONS
  Overall, these women reported improvement in symptoms at follow-up. Operative and clinical findings were not significant predictors of pregnancy likelihood. Prior live birth conferred more than a twofold increase in pregnancy likelihood, whereas advancing age decreased the likelihood. Reasons for reversed sex ratios are unknown but warrant further study.
authors.affiliation: Department of Gynecology and Obstetrics, Millard Fillmore Suburban Hospital, 1542 Maple Road, Suite 6, Williamsville, NY 14221, USA.
authors.forename: R E
authors.initials: RE
authors.lastname: Batt
authors.forename: G M
authors.initials: GM
authors.lastname: Buck
authors.forename: R A
authors.initials: RA
authors.lastname: Smith
mesh_terms: D000328:Adult; D004598:Electrosurgery; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005298:Fertility; D006801:Humans; D010535:Laparoscopy; D008423:Maternal Age; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D012044:Regression Analysis; D012744:Sex Ratio