Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles

被引:137
作者
Littman, E [1 ]
Giudice, L [1 ]
Lathi, R [1 ]
Berker, B [1 ]
Milki, A [1 ]
Nezhat, C [1 ]
机构
[1] Stanford Univ, Dept Gynecol & Obstet, Med Ctr, Stanford, CA 94305 USA
关键词
laparoscopy; endometriosis; infertility; IVF;
D O I
10.1016/j.fertnstert.2005.02.059
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To report our experience in patients with previous IVF failures who conceived after laparoscopic treatment of endometrosis. Design: Retrospective case series. Setting: Tertiary center IVF and endoscopy programs. Patient(s): Infertility patients with history of prior IVF failures. Intervention(s): Laparoscopic evaluation and treatment of endometrosis by the same surgeon. Main Outcome Measure(s): Occurence of conception after laparoscopic treatment of endometriosis. Result(s): Of 29 patients with prior IVF failures, 22 conceived after laparoscopic treatment of endometriosis including 15 non-IVF pregnancies and 7 IVF pregnancies. Conclusion(s): In the abscence of tubal occlusion or severe male factor infertility, laparoscopy may still be considered for the treatment of endometriosis even after multiple IVF failures.
引用
收藏
页码:1574 / 1578
页数:5
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