The use and effectiveness of in vitro fertilization in women with endometriosis: the surgeon's perspective.
OBJECTIVE
To assess the use and effectiveness of IVF in a cohort of women undergoing surgery for endometriosis.


METHODS
Cohort study.


METHODS
University hospital.


METHODS
Four hundred thirty-eight patients who attempted to become pregnant after conservative surgery for endometriosis.


METHODS
Interview.


METHODS
Pregnancy and IVF use.


RESULTS
One hundred ninety-four women conceived in vivo (44%). One hundred twenty-four women did not undergo IVF despite their infertility status (51% of the group of women who failed to conceive in vivo). One hundred thirty-nine women underwent at least one IVF attempt. The cumulative rate of IVF use at 36 months of infertility was 33%. The live-birth/ongoing pregnancy rate per started cycle and per patient was 10% and 20%, respectively.


CONCLUSIONS
In a large tertiary care and referral center, IVF played only a minor role in the treatment of endometriosis-associated infertility.
Somigliana
Edgardo
E
Department of Obstetrics and Gynecology, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy. dadosomigliana@yahoo.it
Daguati
Raffaella
R
Vercellini
Paolo
P
Barbara
Giussy
G
Benaglia
Laura
L
Crosignani
Pier Giorgio
PG
D000328:Adult; D015331:Cohort Studies; D004624:Embryo Transfer; D004715:Endometriosis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D011247:Pregnancy; D018873:Pregnancy Rate