Objective: This study was undertaken to ascertain whether the incidence of pregnancy is increased and time-to-conception is reduced in infertile women with rectovaginal endometriosis undergoing conservative surgery compared with those on expectant management. Study design: A total of 105 infertile women under the age of 40 years with rectovaginal endometriosis and no other associated major infertility factor underwent first-line conservative surgery at laparotomy or expectant management according to a shared decision-making approach. Results: Among the 44 women who had resection of rectovaginal endometriosis, 15 became pregnant, compared with 22 of the 61 women who choose expectant management (24-month cumulative probabilities, 44.9% and 46.8%, respectively; log-rank test, χ21 = 0.75; P = .38). One major and 9 minor postoperative complications occurred. Significant differences in pain-free survival time in favor of the surgery group were observed for dysmenorrhea, dyspareunia, and dyschezia. Conclusion: Conservative surgery for rectovaginal endometriosis in infertile women does not modify the reproductive prognosis although it does increase pain-free survival time.
Reproductive performance in infertile women with rectovaginal endometriosis: Is surgery worthwhile? / P Vercellini, G Pietropaolo, O De Giorgi, R Daguati, R Pasin, PG Crosignani. - In: AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY. - ISSN 0002-9378. - 195:5(2006), pp. 1303-1310.
|Titolo:||Reproductive performance in infertile women with rectovaginal endometriosis: Is surgery worthwhile?|
VERCELLINI, PAOLO PIETRO (Primo)
PIETROPAOLO, GIULIANA (Secondo)
PASIN, ROBERTA (Penultimo)
CROSIGNANI, PIERGIORGIO (Ultimo)
|Parole Chiave:||Conservative surgery; Endometriosis; Infertility; Pelvic pain|
|Settore Scientifico Disciplinare:||Settore MED/40 - Ginecologia e Ostetricia|
|Data di pubblicazione:||2006|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.ajog.2006.03.068|
|Appare nelle tipologie:||01 - Articolo su periodico|