Assessing Natural Conception Rates after Laparoscopic Intervention for Endometriosis-Induced Infertility
Year: 2024
Type: article
Study design: Observational Study
Abstract: Endometriosis, which affects 10 %-15 % of women, complicates infertility diagnosis and treatment. Laparoscopy is essential for diagnosing and treating endometriotic lesions and related disorders. Post-laparoscopy natural pregnancy rates inform endometriosis-related infertility treatment options. Understanding laparoscopy’s efficacy in different endometriosis phases is crucial for enhancing reproductive outcomes and directing care options, despite research shortages. This study evaluates spontaneous pregnancy rates post-laparoscopy to help understand and treat endometriosis-related infertility. This study assesses the success rate of unintentional pregnancies in women who have had laparoscopy for infertility and endometriosis. We selected infertile women who had laparoscopies at our University Hospital from medical records from November 2021 to October 2023. Age 22 to 35, 24 mo of infertility despite unprotected intercourse, regular menstrual cycles (28 d-37 d), surgically confirmed endometriosis, normal fallopian tube function, and no recent ovulatory medication therapy, assisted reproductive technologies or hormone therapy post-surgery were the eligibility laparoscopies under general anesthesia were review board-approved and informed consent. Endometriosis patient’s reproductive outcomes after laparoscopic surgery are examined in this study. Age, initial infertility rates, body mass index, and infertility duration vary between pregnant and non-pregnant patients. The 1 y cumulative intrauterine pregnancy rate after laparoscopy rises to 50 %, suggesting surgical benefits. Laparoscopic findings and procedures vary between pregnant and non-pregnant patients, making endometriosis-related infertility management complicated. Laparoscopy’s effectiveness and endometriosis infertility treatment decisions are informed by this research. This study provides important information for both patients and physicians since it shows that infertile women with endometriosis can conceive naturally 50 % of the time 1 y after laser surgery.
Authors: Dawei Li, Ziwei Zhao, Yujing Weng, Xuanping Lu, Weiqin Zhou
Institution: First Affiliated Hospital of Soochow University
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
Funder: Suzhou University
OpenAlex ID: W4401927296