Clin Exp Reprod Med.  2013 Mar;40(1):29-32. 10.5653/cerm.2013.40.1.29.

Natural conception rate following laparoscopic surgery in infertile women with endometriosis

• Lee HJ
• Lee JE
• Ku SY
• Kim SH
• Kim JG
• Moon SY
• Choi YM

• KMID: 1430080
• DOI: http://doi.org/10.5653/cerm.2013.40.1.29

Abstract

OBJECTIVE
To investigate the influence of laparoscopic surgery on the natural conception rate in infertile women with endometriosis during the first year after the operation.
METHODS
We retrospectively studied 43 infertile women with surgically proven endometriosis. The natural conception rate was investigated for the 12 months after the laparoscopy.
RESULTS
The overall pregnancy rate was 41.9% (18/43). 66.7% (12/18) and 94.4% (17/18) of the patients conceived within postoperative 3 months and 6 months, respectively. The spontaneous pregnancy rate was not associated with the severity of endometriosis or laparoscopic findings or the type of surgery. The pregnancy rate for stage IV was relatively low (20.0%) compared to stage I, II, and III (35.7%, 44.4%, and 53.3%, respectively), although it did not reach statistical significance.
CONCLUSION
Conservative surgical treatment with laparoscopy and a prompt attempt at natural conception may be effective for infertile patients with endometriosis.

Keyword

Endometriosis; Infertility; Laparoscopy; Pregnancy rate

MeSH Terms

Endometriosis
Female
Fertilization
Humans
Infertility
Laparoscopy
Pregnancy Rate
Retrospective Studies