title: Laparoscopic treatment of endometrioma-associated infertility and pregnancy outcome.
abstract: Ovarian endometriomas do not respond well to medical treatment with hormonal suppression, and surgical removal of the endometriomas is usually required. In this study, we attempt to identify the optimal laparoscopic procedures in laparoscopic treatment of ovarian-endometrioma-associated infertility. Among cases in which patients received no IVF-ET after the laparoscopic treatment, the pregnancy rate after complete cystectomy of endometriomas was statistically lower than that after fenestration with electrocoagulation of the cyst wall. Among cases in which patients received IVF-ET, there was no difference in ovarian response between patients that had complete cystectomy and fenestration with electrocoagulation of the cyst wall. However, the pregnancy rate in patients who had aspiration alone was statistically lower than that in patients who had aspiration followed by ethanol fixation. Thus, it appears that for patients who do not require follow-up IVF-ET, fenestration with electrocoagulation of the cyst wall is suitable, whereas for patients who need follow-up IVF-ET, ethanol fixation may be a better choice.
authors.affiliation: Department of Obstetrics and Gynecology, Asahikawa Medical College, Asahikawa, Japan. ntakuma@asahikawa-med.ac.jp
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Takuma
authors.forename: Kazuo
authors.initials: K
authors.lastname: Sengoku
authors.forename: Bochen
authors.initials: B
authors.lastname: Pan
authors.forename: Keiko
authors.initials: K
authors.lastname: Wada
authors.forename: Tomofumi
authors.initials: T
authors.lastname: Yamauchi
authors.forename: Toshinobu
authors.initials: T
authors.lastname: Miyamoto
authors.forename: Daisuke
authors.initials: D
authors.lastname: Ohsumi
authors.forename: Mutsuo
authors.initials: M
authors.lastname: Ishikawa
mesh_terms: D000328:Adult; D004564:Electrocoagulation; D004624:Embryo Transfer; D004715:Endometriosis / Q000150:complications* / Q000601:surgery*; D000431:Ethanol / Q000008:administration & dosage; D005260:Female; D005307:Fertilization in Vitro; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007247:Infertility, Female / Q000209:etiology* / Q000628:therapy*; D010535:Laparoscopy / Q000379:methods*; D010049:Ovarian Diseases / Q000150:complications / Q000601:surgery; D011247:Pregnancy; D011256:Pregnancy Outcome
chemical_list: D000431:Ethanol