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http://dx.doi.org/10.5653/cerm.2013.40.1.29

Natural conception rate following laparoscopic surgery in infertile women with endometriosis  

Lee, Hye Jun (Maria Fertility Hospital)
Lee, Jae Eun (Department of Obstetrics and Gynecology, Seoul National University College of Medicine)
Ku, Seung-Yup (Department of Obstetrics and Gynecology, Seoul National University College of Medicine)
Kim, Seok Hyun (Department of Obstetrics and Gynecology, Seoul National University College of Medicine)
Kim, Jung Gu (Department of Obstetrics and Gynecology, Seoul National University College of Medicine)
Moon, Shin Yong (Department of Obstetrics and Gynecology, Seoul National University College of Medicine)
Choi, Young Min (Department of Obstetrics and Gynecology, Seoul National University College of Medicine)
Publication Information
Clinical and Experimental Reproductive Medicine / v.40, no.1, 2013 , pp. 29-32 More about this Journal
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.
Keywords
Endometriosis; Infertility; Laparoscopy; Pregnancy rate;
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