title: Post-laparoscopy predictive factors of achieving pregnancy in patients treated for infertility.
abstract: BACKGROUND
  Laparoscopy is a long-established diagnostic and therapeutic method for treating women suffering from infertility. The application of this method of treatment can help achieve pregnancy only if there is correct classification of patients and evaluation of their partner's reproductive capacity. The main predictors of achieving pregnancy in a couple treated for infertility are the woman's age, her ovarian reserve, tubal patency, the presence of endometriosis and quality of sperm parameters.
  
  
  OBJECTIVE
  To evaluate the effect of endometriosis, ovarian reserve and selected parameters of semen on the effect of achieving pregnancy in patients undergoing laparoscopy.
  
  
  METHODS
  The most significant predictor of pregnancy in patients undergoing laparoscopy due to infertility was found to be anti-Mullerian hormone (AMH) level after laparoscopy, and the main parameters of semen partners were density, motility and morphology. The number of achieved pregnancies after the laparoscopic treatment of infertility was lower in patients diagnosed with endometriosis, and depended on the severity of the condition.
  
  
  RESULTS
  As a result of laparoscopic treatment of endometriosis, we found a decrease in ovarian reserve measured by means of AMH.
  
  
  CONCLUSIONS
  The most important predictors of pregnancy in patients who underwent laparoscopy due to infertility are post-laparoscopy AMH levels and the main parameters of the partner's semen: density, motility and morphology. The number of pregnancies after laparoscopic treatment is lower in patients diagnosed with endometriosis, and depends on the severity of the conditio.
authors.affiliation: Diagnostic Techniques Unit, Medical University of Lublin, Lublin, Poland.
authors.forename: Artur
authors.initials: A
authors.lastname: Wdowiak
authors.affiliation: International Scientific Association for the Support and Development of Medical Technologies, Poland.
authors.forename: Edyta
authors.initials: E
authors.lastname: Wdowiak
authors.affiliation: Gynecology and Obstetrics Ward - Independent Public Healthcare Center, Puławy, Poland.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Stec
authors.affiliation: Department for Women's Health, Institute of Rural Health, Lublin, Poland.
authors.forename: Iwona
authors.initials: I
authors.lastname: Bojar
keywords: endometriosis; infertility; laparoscopy; sperm