Reproductive outcome after laparoscopic treatment of endometriosis.
OBJECTIVE
To evaluate the pregnancy rate after laparoscopic treatment of endometriosis.


METHODS
47 infertile women undergoing laparoscopic treatment of endometriosis.


RESULTS
rAFS stage was as follows: 11% of patients had Stage I, 11% Stage II, 53.3% Stage III and 24.4% Stage IV. The mean duration of follow-up was 48.5 +/- 18.44 months. The overall pregnancy rate was 64.4%. Eighteen out of 26 women (69%) became pregnant within six months after laparoscopy, 23% at 12 months, 11% within 24 months, and 11% after two years (p < 0.01). Adnexal adhesions and tubal status significantly affected the pregnancy rate. No differences were found regarding the stage of disease and the presence of ovarian endometriomas.


CONCLUSIONS
Laparoscopic treatment of endometriosis enhances fertility and the pregnancy rate is highest within the first six months after surgery. Adnexal adhesions and tubal conditions influence the reproductive outcome.
Porpora
M G
MG
Institute of Gynecological Sciences, Perinatology and Child Health, Policlinico Umberto I-University La Sapienza, Rome, Italy.
Pultrone
D C
DC
Bellavia
M
M
Franco
C
C
Crobu
M
M
Cosmi
E V
EV
D000328:Adult; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000601:surgery*; D010535:Laparoscopy; D011247:Pregnancy; D018873:Pregnancy Rate; D012720:Severity of Illness Index; D016896:Treatment Outcome