Laparoscopic ovarian cystectomy of endometriomas does not affect the ovarian response to gonadotropin stimulation.
OBJECTIVE
To evaluate the ovarian response cycles of IVF-ET in patients who previously underwent laparoscopic cystectomy for endometriomas.


METHODS
Retrospective study with prospective selection of participants and controls.


METHODS
Instituto de Ginecología y Fertilidad Buenos Aires, Argentina.


METHODS
Thirty-nine patients underwent an operation for ovarian endometriomas by atraumatic removal of the pseudocapsule with minimal bipolar cauterization of small bleeders and an IVF-ET cycle (group A) and 39 control patients of similar age underwent an IVF-ET cycle for tubal factor infertility (group B).


METHODS
Laparoscopic endometrioma cystectomy, IVF-ET cycle.


METHODS
E(2) levels, number of gonadotropin ampoules, follicles, oocytes retrieved, number and quality of embryos transferred, and clinical pregnancy rate.


RESULTS
There were no differences in all the parameters studied (E(2) levels, number of follicles, oocytes retrieved, number and quality of embryos transferred, and clinical pregnancy rate) except for the number of gonadotropin ampoules needed for ovarian hyperstimulation, which was significantly higher in group A than in group B.


CONCLUSIONS
Our results indicate that laparoscopic cystectomy for endometriomas is an appropriate treatment since it did not negatively affect the ovarian response for IVF-ET.
Marconi
Guillermo
G
Instituto de Ginecología y Fertilidad, Buenos Aires, Argentina. gmarconi@fibertel.com.ar
Vilela
Martín
M
Quintana
Ramiro
R
Sueldo
Carlos
C
D000328:Adult; D004624:Embryo Transfer; D004715:Endometriosis / Q000601:surgery*; D004958:Estradiol / Q000097:blood; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000628:therapy; D010535:Laparoscopy; D016729:Leuprolide / Q000008:administration & dosage*; D010049:Ovarian Diseases / Q000601:surgery*; D010053:Ovary / Q000187:drug effects*; D010062:Ovulation Induction; D011247:Pregnancy; D012189:Retrospective Studies
D004958:Estradiol; D016729:Leuprolide