title: [Endometriosis and fertility: Results after surgery and Assisted Reproductive Technology (ART)].
abstract: OBJECTIVE
  To evaluate fertility outcomes after laparoscopic and ART management of endometriosis in an infertile population.
  
  
  METHODS
  Retrospective analysis including 79 infertile patients treated by laparoscopic surgery. Fertility was studied in relation to pregnancy's mode (spontaneous or ART) and to endometriosis stages (rAFS).
  
  
  RESULTS
  After laparoscopy, 8.9% of patients had a spontaneous pregnancy. IIU led to a cumulative rate of pregnant women of 21.5%. Then after laparoscopy, IIU and IVF, 68.4% of patients were pregnant. The average delay was 460 days between laparoscopy and spontaneous pregnancy, 271 days between surgery and IIU pregnancy and 600 days between surgery and IVF pregnancy. Among women with stages I-II endometriosis (62 cases), 11.3% patients obtained a spontaneous pregnancy, the cumulative rate of pregnant women after laparoscopy and IIU was 25,8%. After laparoscopy, IIU and IVF, 66.1% of patients were pregnant. The average post-surgical time to spontaneous pregnancy was 460 days. The average delay between surgery and IIU pregnancy was 279 days and 589 days between surgery and IVF pregnancy. In case of stages III-IV (17 patients), 76.4% of pregnancies were obtained. No spontaneous pregnancy was observed. 94.1% of patients were treated with IVF, leading to a global rate of pregnancy of 70.5%. The average delay between surgery and IVF pregnancy was 563 days.
  
  
  CONCLUSIONS
  With a combination of surgery and ART, two-third of patients were pregnant with an average time between surgery and pregnancy of less than two years. This combination (surgery and ART) increases the chances of becoming pregnant. At the moment, the delay between surgery and ART needs to be established.
authors.affiliation: Département de médecine et biologie de la reproduction, pôle naissances et pathologies de la femme, hôpital universitaire A.-de-Villeneuve, Montpellier, France. clodechanet@gmail.com
authors.forename: C
authors.initials: C
authors.lastname: Dechanet
authors.forename: S
authors.initials: S
authors.lastname: Rihaoui
authors.forename: L
authors.initials: L
authors.lastname: Reyftmann
authors.forename: B
authors.initials: B
authors.lastname: Hedon
authors.forename: S
authors.initials: S
authors.lastname: Hamamah
authors.forename: H
authors.initials: H
authors.lastname: Dechaud
mesh_terms: D000293:Adolescent; D000328:Adult; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007247:Infertility, Female / Q000601:surgery*; D010535:Laparoscopy; D011247:Pregnancy / Q000706:statistics & numerical data; D027724:Reproductive Techniques, Assisted; D012189:Retrospective Studies; D055815:Young Adult