Pelvic endometriosis: Infertility and pelvic pain

García, Celso-Ramón; David, Sami S.

doi:10.1016/0002-9378(77)90391-x

Cited by 113 publications

(14 citation statements)

References 6 publications

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“…Since mechanical factors interfering with ovum pick up play an important role in the mechanisms of infertility in patients with advanced stages of endometriosis, the majority of these patients require either surgical correction or IVF/ET to achieve pregnancy. Many studies reported very low cumulative conception rate (CCR) in patients with advanced stages of endometriosis without surgical treatment [7][8][9][10] compared to CCR in patients with early stages of endometriosis [11][12][13]. Olive and colleagues reported no pregnancies among women with severe endometriosis with expectant management, as compared to 52% with mild endometriosis and expectant management during a 25-month follow-up [9].…”

Section: Discussionmentioning

confidence: 99%

Unilateral versus bilateral adnexal disease in stage III and stage IV endometriosis does not affect pregnancy outcome after operative laparoscopy

et al. 2008

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To study the effect of unilateral versus bilateral adnexal involvement on the pregnancy rate after operative laparoscopy. Historic cohort study. A total of 143 patients with advanced stages of endometriosis (stage III and IV) who underwent operative laparoscopy for infertility treatment were categorized into those with unilateral versus bilateral adnexal disease. Forty-three patients had primarily unilateral (group 1) and 100 had bilateral disease (group 2). Follow-up was up to 2 years. There was no significant difference between group 1 and group 2 with respect to pregnancy rates (28% vs 31%), delivery rates (21% vs 23%), miscarriage rates (25% vs 13%), and ectopic rates (0% vs 13%). Cumulative conception rates after up to 24 cycles of natural intercourse and up to three IUI cycles were 59% and 49% for group 1 and group 2, respectively. Operative laparoscopy for advanced stages of endometriosis appears to be an effective treatment modality for establishing a pregnancy in infertile patients. Pregnancy and delivery rates are not different in patients with unilateral or bilateral adnexal involvement.

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Section: Discussionmentioning

confidence: 99%

Unilateral versus bilateral adnexal disease in stage III and stage IV endometriosis does not affect pregnancy outcome after operative laparoscopy

et al. 2008

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“…Two reports described pregnancy in 66% of patients with minimal endometriosis following laparotomy. 4,22 In both of these reports, however, the percentages refer to 2 of 3 patients. Far less often cited is the fact that in the latter of these two studies, 11 of 17 patients whose therapy consisted only of expectancy and emotional support also conceived.…”

Section: Surgical Treatment Of Minimal Pelvic Endometriosismentioning

confidence: 95%

Minimal Pelvic Endometriosis and Infertility

Seibel¹

1985

Semin Reprod Med

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“…Distortion of pelvic structures may lead to tubal obstruction or limited tubal mobility and reduced access to the ovarian surface at the time of ovulation. Increased pregnancy rates have been reported in patients with advanced disease undergoing surgery compared with expectant management [8,9].…”

Section: Endometriosis and Infertilitymentioning

confidence: 99%

Endometriosis and Infertility: Is There a Cause and Effect Relationship?

Witz

Burns²

2002

Gynecol Obstet Invest

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An association between endometriosis and infertility has long been noted. Endometriosis affects approximately 5% of the general population. In infertile women, the prevalence may be as high as 30%. Multiple studies, the majority of which are retrospective, indicate that the monthly fecundity of patients with endometriosis may be decreased by half compared to women without the disease. The precise cause-effect relationship between endometriosis and infertility remains controversial. In advanced cases of endometriosis, with distorted pelvic anatomy, the mechanism of infertility is more easily explained. Recent evidence suggests that treatment of early-stage endometriosis may increase pregnancy rates. Many etiologies of infertility in early-stage endometriosis have been proposed. These include endocrine dysfunctions such as luteal phase defect and luteinized unruptured follicle syndrome. In the last 15 years, alterations in the local pelvic immune environment have been the subject of multiple basic science investigations. Unfortunately, there is no satisfactory hypothesis that unequivocally explains the association of early stages of endometriosis with infertility.

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Pelvic endometriosis: Infertility and pelvic pain

Cited by 113 publications

References 6 publications

Unilateral versus bilateral adnexal disease in stage III and stage IV endometriosis does not affect pregnancy outcome after operative laparoscopy

Unilateral versus bilateral adnexal disease in stage III and stage IV endometriosis does not affect pregnancy outcome after operative laparoscopy

Minimal Pelvic Endometriosis and Infertility

Endometriosis and Infertility: Is There a Cause and Effect Relationship?

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