title: The use and effectiveness of in vitro fertilization in women with endometriosis: the surgeon's perspective.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy. dadosomigliana@yahoo.it
authors.forename: Edgardo
authors.initials: E
authors.lastname: Somigliana
authors.forename: Raffaella
authors.initials: R
authors.lastname: Daguati
authors.forename: Paolo
authors.initials: P
authors.lastname: Vercellini
authors.forename: Giussy
authors.initials: G
authors.lastname: Barbara
authors.forename: Laura
authors.initials: L
authors.lastname: Benaglia
authors.forename: Pier Giorgio
authors.initials: PG
authors.lastname: Crosignani
mesh_terms: 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