To evaluate the effects of surgical treatment on endometriosis in infertile women, we reviewed 41 patients diagnosed as endometriosis with infertility and received conservative surgical treatment in Chonbuk University Hospital from January, 1986
to
December, 1991.
@ES The results were as follows:
@EN 1. The age of the patients were ranged from 25 to 39 year old and mean age was 30.2 year old.
2. Pregnancy rate after surgical treatment of endometriosis in infertile women was 51.2%.
3. Preoprative diagnoses were endometriosis (n=23), adnexal tumor(n=7), uterine myoma(n=6), chronic PID(n=5) in orders.
4. The longer duration of infertility period was result in poor pregnancy outcome after the operation.
5. The duration from surgical treatment to pregnancy was range from 2 months to 38 months, and mean duration was 8 months.
6. In young age group, the pregnancy rate was higher.
7. There was no relationship between stage of endometriosis and pregnancy rate except stage IV, and pregnancy rates of stage I, II, III, IV were 57.1%, 50.0%, 61.5%, 25.0% respectively.
8. In pregnant women. Pregnancy outcomes were full term deliveries in 85.7% (n=18), spontaneous abortions in 14.3% (n=3). Among full term deliveries 16.7% (n=3) were delivered by C-section.
9. Surgical procedures were adhesiolysis, electrofulguration, endometrial cyst enucleation, uterine suspension, butoplasty, unilateral adnexectomy, etc.
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