Embryo quality before and after surgical treatment of endometriosis in infertile patients.
OBJECTIVE
To investigate the hypothesis that surgical treatment of endometriosis in infertile patients may improve pregnancy rates by improving embryo quality.


METHODS
We conducted a retrospective evaluation of 30 infertile patients treated with in vitro fertilization (IVF) before and after surgery for endometriosis. Patients served as their own controls and only cycles with similar stimulation protocols were compared.


RESULTS
Using standard visual evaluation, embryo quality on day 3 was similar before and after surgical treatment of endometriosis. Fifty seven percent of patients had stage I-II endometriosis and 43% had stage III-IV disease. No patients had a live birth after the first IVF cycle and 43% of patients had a live birth with the IVF cycle after surgery.


CONCLUSIONS
Surgical treatment of endometriosis does not alter embryo quality in patients with infertility treated with IVF.
Shahine
Lora K
LK
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Stanford University, 900 Welch Road, Suite 350, Stanford, CA 94304, USA. Ishahine@stanford.edu
Burney
Richard O
RO
Behr
Barry
B
Milki
Amin A
AA
Westphal
Lynn M
LM
Lathi
Ruth B
RB
D000328:Adult; D018450:Disease Progression; D004622:Embryo, Mammalian / Q000502:physiology*; D004715:Endometriosis / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D012189:Retrospective Studies