Document Detail


Effect of delaying post-operative conception after conservative surgery for endometriosis.
MedLine Citation:
PMID:  20097135     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to determine whether delaying attempts to conceive after surgery for endometriosis impacts on reproductive prognosis. Patients operated on for endometriosis who were not seeking pregnancy at the time of surgery were selected (n=124) from a large survey regarding reproductive outcome of women with the disease. Pregnancy rate and rate of second surgery were compared between women who attempted conception within 12 months after surgery (n=61) and those compared who postponed attempts for 12 months or more (n=63). In women delaying attempted conception, the adjusted incidence rate ratio for pregnancy and repetitive surgery was 0.79 (95% CI 0.46-1.35) and 1.70 (95% CI 0.86-3.38), respectively. In conclusion, attempting conception shortly after surgery appears advisable since delaying is associated with a lower pregnancy rate and a higher rate of recurrence. However, these differences did not reach statistical significance and this advice is thus not mandatory. Larger studies are warranted to validate these conclusions.
Authors:
Edgardo Somigliana; Paolo Vercellini; Raffaella Daguati; Erika Giambattista; Laura Benaglia; Luigi Fedele
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Publication Detail:
Type:  Journal Article     Date:  2009-12-16
Journal Detail:
Title:  Reproductive biomedicine online     Volume:  20     ISSN:  1472-6491     ISO Abbreviation:  Reprod. Biomed. Online     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-26     Completed Date:  2010-12-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101122473     Medline TA:  Reprod Biomed Online     Country:  England    
Other Details:
Languages:  eng     Pagination:  410-5     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy. dadosomigliana@yahoo.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Endometriosis / surgery*
Female
Fertilization*
Humans
Postoperative Period
Pregnancy
Pregnancy Rate*
Recurrence / prevention & control
Reoperation
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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