Reproductive Outcome in Women with Ovarian Endometriosis – Retrospective Analytical Study

Overview

Objective:
To evaluate our clinical results and reproductive outcome after laparoscopic surgery for ovarian endometriosis in infertile women.

Design:
Analytic retrospective study.

Setting:
Institute for the Mother and Child Care, Prague, Institute for Postgraduate Medical Education,

Prague, Czech republic.

Results:
Surgical treatment in infertile patient should be conservative as much as possible. Laparoscopic surgery has the potential to achieve very good results in the treatment of endometriomas. Surgical treatment of the endometriotic cyst is still controversial. There are several surgical options in the treatment of an endometrioma. In our department we use laparoscopic stripping of the capsule. During 2000–2003 we operated on 70 infertile women with an endometrioma. The average age of the patients was 30.5 year and the average diameter of all endometriomas was 5.0 cm. The cumulative delivery rate after surgery was 55.7 % (n=39).

Conclusion:
We present our clinical results after laparoscopic conservative surgery for ovarian endometriosis. The achieved pregnancy rate in our group is comparable to the results published in other studies.

Key words:
laparoscopy, endometrioma, endometriosis, cyst stripping, pregnancy, IVF, infertility