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Fertil Steril. 2005 Dec;84(6):1574-8.

Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles.

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1
Department of Gynecology and Obstetrics, Stanford University Medical Center, Stanford, California, USA.

Abstract

OBJECTIVE:

To report our experience in patients with previous IVF failures who conceived after laparoscopic treatment of endometriosis.

DESIGN:

Retrospective case series.

SETTING:

Tertiary center IVF and endoscopy programs.

PATIENT(S):

Infertility patients with history of prior IVF failures.

INTERVENTION(S):

Laparoscopic evaluation and treatment of endometriosis by the same surgeon.

MAIN OUTCOME MEASURE(S):

Occurrence of conception after laparoscopic treatment of endometriosis.

RESULT(S):

Of 29 patients with prior IVF failures, 22 conceived after laparoscopic treatment of endometriosis, including 15 non-IVF pregnancies and 7 IVF pregnancies.

CONCLUSION(S):

In the absence of tubal occlusion or severe male factor infertility, laparoscopy may still be considered for the treatment of endometriosis even after multiple IVF failures.

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