Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Institute 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.