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KMID : 1033620130400010029
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Clinical and Experimental Reproductive Medicine
2013 Volume.40 No. 1 p.29 ~ p.32
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Natural conception rate following laparoscopic surgery in infertile women with endometriosis
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Lee Hye-Jun
Lee Jae-Eun
Ku Seung-Yup
Kim Seok-Hyun
Kim Jung-Gu
Moon Shin-Yong
Choi Young-Min
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Abstract
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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.
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KEYWORD
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Endometriosis, Infertility, Laparoscopy, Pregnancy rate
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