title: Use of laparoscopic cytoreductive surgery to treat infertile women with localized adenomyosis.
abstract: OBJECTIVE
  We report on two infertile women with localized adenomyosis who had successful pregnancies after treatment with laparoscopic cytoreductive surgery.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Tertiary care university hospital.
  
  
  METHODS
  Two infertile women with localized adenomyosis.
  
  
  METHODS
  Laparoscopic excision of adenomyotic lesion with/without subsequent hypoestrogenic agent was performed.
  
  
  METHODS
  Pregnancy.
  
  
  RESULTS
  Hypoestrogenic agent with danazol was administered 3 months immediately after surgery in one woman. Both women conceived spontaneously at 30 and 21 months after surgery, respectively. The pregnancies were uneventful, and healthy infants were delivered via cesarean section at term.
  
  
  CONCLUSIONS
  Laparoscopic cytoreductive surgery can be an alternative treatment to the use of hypoestrogenic agents or hysterectomy in women with localized adenomyosis, especially for those who want to maintain their fertility and achieve successful pregnancies. Patients may wait up to 21 months after surgery until a pregnancy occurs.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Gynecologic Endoscopy, Chang Gung Memorial Hospital, Kwei-Shan Tao-Yuan, Taiwan.
authors.forename: Chin-Jung
authors.initials: CJ
authors.lastname: Wang
authors.forename: Leung-To
authors.initials: LT
authors.lastname: Yuen
authors.forename: Shuenn-Dyh
authors.initials: SD
authors.lastname: Chang
authors.forename: Chyi-Long
authors.initials: CL
authors.lastname: Lee
authors.forename: Yung-Kuei
authors.initials: YK
authors.lastname: Soong
mesh_terms: D000328:Adult; D003613:Danazol / Q000627:therapeutic use*; D004715:Endometriosis / Q000150:complications* / Q000601:surgery*; D004965:Estrogen Antagonists / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007247:Infertility, Female / Q000188:drug therapy / Q000209:etiology*; D010535:Laparoscopy; D008297:Male; D011182:Postoperative Care; D011247:Pregnancy; D016896:Treatment Outcome
chemical_list: D004965:Estrogen Antagonists; D003613:Danazol