Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles
Received 14 July 2004; received in revised form 14 February 2005; accepted 14 February 2005.
Objective
To report our experience in patients with previous IVF failures who conceived after laparoscopic treatment of endometriosis.
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 endometriosis by the same surgeon.
Main Outcome Measure(s)
Occurrence 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 absence of tubal occlusion or severe male factor infertility, laparoscopy may still be considered for the treatment of endometriosis even after multiple IVF failures.
Department of Gynecology and Obstetrics, Stanford University Medical Center, Stanford, California
Reprint requests: Camran Nezhat, M.D., Stanford University Medical Center, Center for Special Minimally Invasive Surgery, 900 Welch Road Suite 403, Palo Alto, California 94304 (FAX: 650-327-2794).
ABSTRACT