title: Simultaneous laparoscopy for endometriotic women undergoing in vitro fertilization.
abstract: OBJECTIVE
  The aim of this study was to investigate simultaneous laparoscopy in endometriotic women with infertility undergoing in vitro fertilization (IVF).
  
  
  METHODS
  Forty-seven infertile patients with endometriosis were enrolled in this retrospective study and underwent IVF cycles in a university affiliated hospital.
  
  
  RESULTS
  The chemical pregnancy, clinical pregnancy and live birth rates were statistically significantly different between patients with minimal or mild stage endometriosis and patients with moderate or severe stage endometriosis, who received simultaneous laparoscopy and modified IVF with a GnRH antagonist protocol. A higher live birth rate was achieved in IVF patients with minimal or mild stage endometriosis combined with laparoscopic treatment, than in patients who received traditional IVF with prior laparoscopic surgery for endometrioma.
  
  
  CONCLUSIONS
  Simultaneous laparoscopy combined with a modified IVF (GnRH antagonist) protocol may benefit patients with minimal and mild endometriosis. Traditional GnRH agonist IVF cycles may improve the fecundity rates in women with moderate and severe endometriosis after laparoscopic treatment.
authors.affiliation: Department of Obstetrics and Gynecology, Lucina Women & Children Hospital, Kaohsiung, Taiwan.
authors.forename: Man-Ling
authors.initials: ML
authors.lastname: Chen
authors.forename: Kuan-Chiao
authors.initials: KC
authors.lastname: Lee
authors.forename: Cheng-Ta
authors.initials: CT
authors.lastname: Yang
authors.forename: Kuei-Hsiang
authors.initials: KH
authors.lastname: Hung
authors.forename: Meng-Hsing
authors.initials: MH
authors.lastname: Wu
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000150:complications / Q000601:surgery*; D005260:Female; D005307:Fertilization in Vitro; D007987:Gonadotropin-Releasing Hormone / Q000037:antagonists & inhibitors; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000628:therapy*; D010535:Laparoscopy; D050498:Live Birth; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013997:Time Factors
chemical_list: D007987:Gonadotropin-Releasing Hormone