The aim of this study was to evaluate the pregnancy rates and outcomes in the patients with endometriosis after laparoscopic surgical management.
This retrospective analytical study was done in patients diagnosed with endometriosis and who were managed by laparoscopic surgery at our hospital from January 2005 to December 2014. We evaluated pregnancy rates and outcomes in patients with endometriosis after laparoscopic surgical management.
Out of total 140 eligible cases, 84 (60%) patients conceived and 56 (40%) did not conceive. Endometriosis was found to be in the minimal, mild, moderate, and severe stage in 19, 44, 57, and 20 patients respectively. In minimal, mild, moderate, and severe endometriosis, number of patients who conceived were 15 (78.95%), 27 (61.36%), 32 (56.14%), and 10 (50%) respectively. Out of 84 conceived patients, 39 (46.43%) conceived naturally, 25 (29.76%) conceived after controlled ovarian hyperstimulation (COH), intrauterine insemination (IUI), and 20 (23.81%) conceived after in vitro fertilization (IVF). There were 54 (64.29%) term pregnancies, 16 (19.05%) preterm pregnancies, and 14 (16.67%) were spontaneous miscarriages in total.
The pregnancy and live birth rates seem to be improved after laparoscopic surgical management of endometriosis. Reproductive outcome was closely associated with stage of endometriosis. A significant inverse correlation was observed between disease severity and spontaneous conception.
How to cite this article
Bettaiah R, Kurkuri SN, Gandubariki P. Pregnancy Rates and Outcomes after Laparoscopic Surgical Management of Endometriosis: A Retrospective Analytical Study. Int J Infertil Fetal Med 2016;7(1):19-22.