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Updated: Mar 23, 2026
Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
Published on: August 2, 2024
Laparoscopic surgery improves pregnancy outcomes in women with suspected endometriosis with or without pathological
Purpose Of The Investigation:
To verify whether histologic confirmation of endometriosis impacts fertility outcomes.
Materials And Methods:
Women with unexplained infertility (UI) underwent laparoscopic excision or ablation with CO2 laser or electrocautery of all suspected endometriotic lesions, followed by clinical treatment between January 2007 and December 2013; pregnancy (> 12 weeks) within 12 months of monitored cycles was the main outcome measured.
Results:
Women with histological confirmation (n = 74) did not differ from those not confirmed (n = 29) with age, body mass index, gravidity, parity, ovulation induction protocol, and past duration of infertility. Pregnancy outcome was similar in both groups (39/74 vs. 15/29-p = 0.9--Chi-square) and there was no statistical difference in time to conceive/deliver (p = 0.7) between groups.
Conclusions:
There is no difference in fertility outcomes in women with UI, whether or not suspected endometriosis is confirmed pathologically.
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