Results of in vitro fertilization in patients with endometriomas: is surgical removal beneficial?

American Journal of Obstetrics and Gynecology
Benjamin C WongLaurel A Stadtmauer

Abstract

The purpose of this study was to investigate the effect of endometriomas on clinical pregnancy rates of in vitro fertilization-embryo transfer. Infertile patients with endometriosis who underwent in vitro fertilization-embryo transfer were divided into group 1 patients who had a history of ovarian endometriomas and group 2 patients who did not. The patients in group 1 were further divided into group 1A who had their endometriomas removed by laparoscopic ovarian cystectomy before the start of in vitro fertilization-embryo transfer and group 1B who underwent in vitro fertilization-embryo transfer with the presence of endometriomas. The clinical pregnancy rates of these groups were compared. Clinical pregnancy rates per transfer were similar in group 1 and group 2 (40% vs 47%; P =.38) and similar in patients in group 1A and group 1B (47% vs 34%; P =.28), although the direction was toward improved pregnancy rates in the groups of patients without endometriomas present at the time of in vitro fertilization stimulation. When patients >39 years of age were excluded, the overall pregnancy rate was higher in those patients who had no current endometriomas than in those patients who had endometriomas present at the time of stimulation (6...Continue Reading

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Citations

Dec 28, 2010·Journal de gynécologie, obstétrique et biologie de la reproduction·A Amar-HoffetJ Belaisch-Allart
Oct 25, 2008·Human Reproduction·Paolo VercelliniPier Giorgio Crosignani
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May 24, 2006·Fertility and Sterility·Edgardo SomiglianaGuido Ragni
Dec 20, 2005·Fertility and Sterility·Alan S Penzias
Dec 20, 2005·Fertility and Sterility·G David Adamson
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Aug 15, 2006·Human Reproduction·E J MargaliothT Eldar-Geva

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