IMR Press / CEOG / Volume 43 / Issue 1 / DOI: 10.12891/ceog2030.2016

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.

Original Research
Laparoscopic surgery improves pregnancy outcomes in women with suspected endometriosis with or without pathological confirmation
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1 Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Greenville Health System, Greenville, SC (USA)
2 Department of Gynecology and Obstetrics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS (Brazil)
3 Department of Public Health Sciences, Clemson University, Clemson, SC (USA)
4 Department of Biology, Faculty of Sciences, University of British Columbia, Vancouver (Canada)
Clin. Exp. Obstet. Gynecol. 2016, 43(1), 31–36; https://doi.org/10.12891/ceog2030.2016
Published: 10 February 2016
Abstract

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.
Keywords
Laparoscopy
Endometriosis
Pregnancy outcome
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