Clinical and Experimental Reproductive Medicine  2013;40(1):29-32

doi:10.5653/cerm.2013.40.1.29

Natural conception rate following laparoscopic surgery in infertile women with endometriosis.

Hye Jun LEE 1 ; Jae Eun LEE ; Seung Yup KU ; Seok Hyun KIM ; Jung Gu KIM ; Shin Yong MOON ; Young Min CHOI

Affiliations

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Keywords

Endometriosis; Infertility; Laparoscopy; Pregnancy rate

Country

Republic of Korea

Language

English

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.