The endometriosis is one of the reason for infertility, and recently, the incidence of endometriosis is increased. However the difficulties include problems of explanatation of etiology, pathophysiology and progression. It is very difficut to
determine
the method of treatment for infertility patient who has been confirmed as endometriosis.
This study was performed to evaluate the clinical characteristics and treatment of 43 patients who has been confirmed as endometriosis by lapartotomies, C-Section, pelviscopy perfomed at the Department of Obstetrics and Gynecol, Ewha Mock Dong
Hospital
from September 1993 to February 1995.
@ES The result were as follows:
@EN 1. The incidence of endometriosis was 6.7% of gynecologic operation.
2. The age of patients was between 18 and 48, and the mean age was 33.9% years old. The most of the patients were in their thirties.
3. Incidence of endometriosis was higher among early menarche, regular menstruation and prolonged menstruation groups.
4. The clinical symptoms of the patients were infertility, known mass and dysmenorrhea in order of frequency.
5. The infertility with endometriosis was noted as 30.2% of the cases(primary infertility was 43.1% and secondary infertility was 15.9%).
6. Stage I of endometriosis was most frequently noted as 46.5%.
7. The most frequent used diagnostic method was pelviscope(39.5%).
8. The most common endometriotic site was uterosacral ligament including cul de sac obliteration. The other predilection site was ovary.
9. Associated disease were myoma, dermoid cyst and pelvic inflammatory disease in order of frequency.
10. 71.5% of the patients who were in stage III and IV were noted as abnormal serum CA 125 level.
11. The pregnancy rate of infertile endometriosis patient was 46.2% after treatment.
|