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Review

The Surgical Benefit of Hysterolaparoscopy in Endometriosis-Related Infertility: A Single Centre Retrospective Study with a Minimum 2-Year Follow-Up

1
Department of Obstetrics & Gynaecology, Robert Károly Private Hospital, 1135 Budapest, Hungary
2
Faculty of Health Sciences, University of Pécs, 48-as tér 1, 7622 Pécs, Hungary
3
Department of Obstetrics & Gynaecology, University of Pécs, 48-as tér 1, 7622 Pécs, Hungary
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(2), 507; https://doi.org/10.3390/jcm9020507
Received: 14 January 2020 / Revised: 4 February 2020 / Accepted: 10 February 2020 / Published: 13 February 2020
(This article belongs to the Special Issue Diagnosis and Management of Endometriosis and Uterine Fibroids)
Aim: This study examined the fertility performance of women after combined hysterolaparoscopic surgical management of endometriosis. Design: This study is a hospital-based retrospective review. Materials and Methods: Data collected from the records of all patients presented with endometriosis-related infertility using a checklist designed for the purpose. Result: A total of 81.3% (370/455) of women who have had the desire to have children became pregnant during the study period after the surgery. Of those who became pregnant, all three-hundred-forty-seven patients were followed to the end of their pregnancies. A successful live birth occurred in 94.2% (327/347) of individuals, and pregnancy loss occurred in 5.8% (20/347). The mean patient age was 34.1 ± 4.1 years, and the average duration of infertility was 3.4 ± 3.3 years. Pregnancy occurred spontaneously in 39.5% (146/370) of patients, after artificial insemination (AIH) in 3.8% (14/370) of women, and after in vitro fertilization-embryo transfer (IVF-ET) in 56.8% (210/370) of cases. Patients aged ≤ 35 years had a higher chance of conception post-surgery—84% versus 77%, respectively (p = 0.039). Based on the modes of pregnancy, the timely introduction of an assisted reproductive technique (ART) demonstrated a significant effect on fertility performance postsurgery. Comparatively, this effect was 91.3% vs. 74.1% among the ≤35- and >35-year-old age groups, respectively. There was no significant difference in reproductive performance based on stages of endometriosis, nor in the other parameters evaluated. Conclusion: Our data are consistent with previous clinical studies regarding the management options of endometriosis-related infertility. Overall, the combined hysterolaparoscopy treatment is a very effective and reliable procedure, and is even more effective when combined with ART. It enhances women’s wellbeing and quality of life, and significantly improves reproductive performance. View Full-Text
Keywords: endometriosis; infertility; hysterolaparoscopy surgery; pregnancy; quality of life endometriosis; infertility; hysterolaparoscopy surgery; pregnancy; quality of life
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MDPI and ACS Style

Ekine, A.A.; Fülöp, I.; Tekse, I.; Rúcz, Á.; Jeges, S.; Koppán, Á.; Koppán, M. The Surgical Benefit of Hysterolaparoscopy in Endometriosis-Related Infertility: A Single Centre Retrospective Study with a Minimum 2-Year Follow-Up. J. Clin. Med. 2020, 9, 507. https://doi.org/10.3390/jcm9020507

AMA Style

Ekine AA, Fülöp I, Tekse I, Rúcz Á, Jeges S, Koppán Á, Koppán M. The Surgical Benefit of Hysterolaparoscopy in Endometriosis-Related Infertility: A Single Centre Retrospective Study with a Minimum 2-Year Follow-Up. Journal of Clinical Medicine. 2020; 9(2):507. https://doi.org/10.3390/jcm9020507

Chicago/Turabian Style

Ekine, Atombosoba Adokiye, István Fülöp, István Tekse, Árpád Rúcz, Sara Jeges, Ágnes Koppán, and Miklós Koppán. 2020. "The Surgical Benefit of Hysterolaparoscopy in Endometriosis-Related Infertility: A Single Centre Retrospective Study with a Minimum 2-Year Follow-Up" Journal of Clinical Medicine 9, no. 2: 507. https://doi.org/10.3390/jcm9020507

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