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Reproductive outcome after laparoscopic treatment of endometriosis
M G Porpora1, D C Pultrone, M Bellavia
1Institute of Gynecological Sciences, Perinatology and Child Health, Policlinico Umberto I-University La Sapienza, Rome, Italy.
Purpose Of Investigation:
To evaluate the pregnancy rate after laparoscopic treatment of endometriosis.
Patients And Methods:
47 infertile women undergoing laparoscopic treatment of endometriosis.
Results:
rAFS stage was as follows: 11% of patients had Stage I, 11% Stage II, 53.3% Stage III and 24.4% Stage IV. The mean duration of follow-up was 48.5 +/- 18.44 months. The overall pregnancy rate was 64.4%. Eighteen out of 26 women (69%) became pregnant within six months after laparoscopy, 23% at 12 months, 11% within 24 months, and 11% after two years (p < 0.01). Adnexal adhesions and tubal status significantly affected the pregnancy rate. No differences were found regarding the stage of disease and the presence of ovarian endometriomas.
Conclusion:
Laparoscopic treatment of endometriosis enhances fertility and the pregnancy rate is highest within the first six months after surgery. Adnexal adhesions and tubal conditions influence the reproductive outcome.