The use and effectiveness of in vitro fertilization in women with endometriosis: the surgeon's perspective.

Abstract:

OBJECTIVE:To assess the use and effectiveness of IVF in a cohort of women undergoing surgery for endometriosis. DESIGN:Cohort study. SETTING:University hospital. PATIENT(S):Four hundred thirty-eight patients who attempted to become pregnant after conservative surgery for endometriosis. INTERVENTION(S):Interview. MAIN OUTCOME MEASURE(S):Pregnancy and IVF use. RESULT(S):One hundred ninety-four women conceived in vivo (44%). One hundred twenty-four women did not undergo IVF despite their infertility status (51% of the group of women who failed to conceive in vivo). One hundred thirty-nine women underwent at least one IVF attempt. The cumulative rate of IVF use at 36 months of infertility was 33%. The live-birth/ongoing pregnancy rate per started cycle and per patient was 10% and 20%, respectively. CONCLUSION(S):In a large tertiary care and referral center, IVF played only a minor role in the treatment of endometriosis-associated infertility.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Somigliana E,Daguati R,Vercellini P,Barbara G,Benaglia L,Crosignani PG

doi

10.1016/j.fertnstert.2008.02.004

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

1775-9

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(08)00244-6

journal_volume

91

pub_type

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