Does IVF-ET Procedure Increase the Pregnancy Rates in Women Underwent Laparoscopic Endometriosis Surgery?

OBJECTIVE: To evaluate pregnancy rates in women who underwent In Vitro Fertilization-Embryo Transfer (IVF-ET) following laparoscopic endometriosis surgery and to assess the success of IVF-ET. STUDY DESIGN: One hundred forty-one primary infertile patients who underwent laparoscopic endometriosis su...

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Main Authors: Gürhan Güney, Aytekin Tokmak, Ali İrfan Güzel, Turgut Var, Esra İşçi, Ali Sertaç Batıoğlu
Format: Article
Language:English
Published: Medical Network 2015-08-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/23
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author Gürhan Güney
Aytekin Tokmak
Ali İrfan Güzel
Turgut Var
Esra İşçi
Ali Sertaç Batıoğlu
author_facet Gürhan Güney
Aytekin Tokmak
Ali İrfan Güzel
Turgut Var
Esra İşçi
Ali Sertaç Batıoğlu
author_sort Gürhan Güney
collection DOAJ
description OBJECTIVE: To evaluate pregnancy rates in women who underwent In Vitro Fertilization-Embryo Transfer (IVF-ET) following laparoscopic endometriosis surgery and to assess the success of IVF-ET. STUDY DESIGN: One hundred forty-one primary infertile patients who underwent laparoscopic endometriosis surgery were included in this retrospective study. After the surgery, the patients were followed up for one to eight years, and 95 patients who did not conceive postoperatively underwent IVFET (study group). RESULTS: The pregnancy rate in the study group was 35.8 % and 32.6% in the laparoscopic surgery only group (p>0.05). The total conception rate (45.4 %) within the first 12 months after laparoscopy with or without IVF was higher than in the other periods (p<0.001). In women with stage III and IV of endometriosis, the pregnancy rate was lower than the stage I and II group. Moreover, the fecundity rate in women older than 35 years was statistically significantly lower than women under the age of 35 years (p=0.003). CONCLUSIONS: In this study, the pregnancy rate was higher in the laparoscopic endometriosis surgery and IVF-ET group compared with the surgery only group, but difference was not statistically significant. Therefore, after surgery IVF-ET may be recommended to women with endometriosis related infertility.
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publishDate 2015-08-01
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series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-91030390fb774f02bf6e7c9d9cbb43a92025-02-11T21:25:52ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182015-08-0121218Does IVF-ET Procedure Increase the Pregnancy Rates in Women Underwent Laparoscopic Endometriosis Surgery?Gürhan Güney0Aytekin Tokmak1Ali İrfan Güzel2Turgut Var3Esra İşçi4Ali Sertaç Batıoğlu5Dr. Zekai Tahir Burak Women's Health Research and Education Hospital, Department of Obstetrics and Gynecology, Division of Infertility and Gynecological Endocrinology, AnkaraDr. Zekai Tahir Burak Women's Health Research and Education Hospital, Department of Obstetrics and Gynecology, Division of Infertility and Gynecological Endocrinology, AnkaraDr. Zekai Tahir Burak Women's Health Research and Education Hospital, Department of Obstetrics and Gynecology, Division of Infertility and Gynecological Endocrinology, AnkaraDr. Zekai Tahir Burak Women's Health Research and Education Hospital, Department of Obstetrics and Gynecology, Division of Infertility and Gynecological Endocrinology, AnkaraDr. Zekai Tahir Burak Women's Health Research and Education Hospital, Department of Obstetrics and Gynecology, Division of Infertility and Gynecological Endocrinology, AnkaraDr. Zekai Tahir Burak Women's Health Research and Education Hospital, Department of Obstetrics and Gynecology, Division of Infertility and Gynecological Endocrinology, Ankara OBJECTIVE: To evaluate pregnancy rates in women who underwent In Vitro Fertilization-Embryo Transfer (IVF-ET) following laparoscopic endometriosis surgery and to assess the success of IVF-ET. STUDY DESIGN: One hundred forty-one primary infertile patients who underwent laparoscopic endometriosis surgery were included in this retrospective study. After the surgery, the patients were followed up for one to eight years, and 95 patients who did not conceive postoperatively underwent IVFET (study group). RESULTS: The pregnancy rate in the study group was 35.8 % and 32.6% in the laparoscopic surgery only group (p>0.05). The total conception rate (45.4 %) within the first 12 months after laparoscopy with or without IVF was higher than in the other periods (p<0.001). In women with stage III and IV of endometriosis, the pregnancy rate was lower than the stage I and II group. Moreover, the fecundity rate in women older than 35 years was statistically significantly lower than women under the age of 35 years (p=0.003). CONCLUSIONS: In this study, the pregnancy rate was higher in the laparoscopic endometriosis surgery and IVF-ET group compared with the surgery only group, but difference was not statistically significant. Therefore, after surgery IVF-ET may be recommended to women with endometriosis related infertility. https://gorm.com.tr/index.php/GORM/article/view/23EndometriosisLaparoscopic surgeryIVF-ETInfertility
spellingShingle Gürhan Güney
Aytekin Tokmak
Ali İrfan Güzel
Turgut Var
Esra İşçi
Ali Sertaç Batıoğlu
Does IVF-ET Procedure Increase the Pregnancy Rates in Women Underwent Laparoscopic Endometriosis Surgery?
Gynecology Obstetrics & Reproductive Medicine
Endometriosis
Laparoscopic surgery
IVF-ET
Infertility
title Does IVF-ET Procedure Increase the Pregnancy Rates in Women Underwent Laparoscopic Endometriosis Surgery?
title_full Does IVF-ET Procedure Increase the Pregnancy Rates in Women Underwent Laparoscopic Endometriosis Surgery?
title_fullStr Does IVF-ET Procedure Increase the Pregnancy Rates in Women Underwent Laparoscopic Endometriosis Surgery?
title_full_unstemmed Does IVF-ET Procedure Increase the Pregnancy Rates in Women Underwent Laparoscopic Endometriosis Surgery?
title_short Does IVF-ET Procedure Increase the Pregnancy Rates in Women Underwent Laparoscopic Endometriosis Surgery?
title_sort does ivf et procedure increase the pregnancy rates in women underwent laparoscopic endometriosis surgery
topic Endometriosis
Laparoscopic surgery
IVF-ET
Infertility
url https://gorm.com.tr/index.php/GORM/article/view/23
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