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J Minim Invasive Gynecol. 2014 Nov-Dec;21(6):1061-6. doi: 10.1016/j.jmig.2014.05.002. Epub 2014 May 22.

Long-term fertility after laparoscopy for endometriosis-associated pelvic pain in young adult women.

Author information

1
Department of Obstetrics, Gynecology, and Women's Health Institute, Cleveland Clinic Foundation, Cleveland, Ohio; Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio.
2
Department of Quantitative Health Sciences, Cleveland Clinic Foundation, Cleveland, Ohio.
3
Department of Obstetrics, Gynecology, and Women's Health Institute, Cleveland Clinic Foundation, Cleveland, Ohio. Electronic address: falcont@ccf.org.

Abstract

STUDY OBJECTIVE:

To describe the long-term fertility outcomes in young patients with endometriosis-associated pelvic pain treated with laparoscopic surgery.

DESIGN:

Retrospective case series (Canadian Task Force classification II-2).

SETTING:

Tertiary care hospital.

PATIENTS:

Women aged 18 to 25 years who underwent laparoscopic surgery between 2000 and 2005 at the Cleveland Clinic Foundation solely to treat endometriosis-associated pelvic pain.

INTERVENTIONS:

Patients answered a telephone or mail survey questionnaire assessing fertility outcome after surgery.

MEASUREMENTS AND MAIN RESULTS:

Twenty-eight of 74 eligible patients (37.8%) were enrolled in the study. With a median (interquartile range) age of 23.5 (1.5) years at follow-up, these patients completed the telephone or postal questionnaire to assess fertility outcomes at follow-up of 102.5 (16.6) months. In most participants the diagnosis was less advanced endometriosis (stage I, 60.7%; stage II, 28.6%). Twenty women (71.4%) had at least 1 pregnancy during follow-up that resulted in a live birth, of which >80% were spontaneous without the use of assisted reproductive technologies.

CONCLUSION:

Long-term pregnancy rates are excellent in young women undergoing laparoscopic surgery to treat pelvic pain. However, a future prospective study is needed to determine whether laparoscopy has any hindrance on future fertility.

KEYWORDS:

Endometriosis; Fertility; Laparoscopy; Pelvic pain

PMID:
24858987
DOI:
10.1016/j.jmig.2014.05.002
[Indexed for MEDLINE]

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