Document Detail

Influence of pelvic endometriosis and ovarian endometrioma on fertility.
MedLine Citation:
PMID:  11834867     Owner:  NLM     Status:  MEDLINE    
We investigated the influence of pelvic endometriosis and ovarian endometrioma on pregnancy outcome in women associated with infertility. A total of 237 women with endometriosis were reviewed, and their fertility rate was assessed by both r-AFS staging and TOP classification as previously proposed by our group. There was no significant difference in pregnancy rate among r-AFS stages. However, the pregnancy rate was mostly affected by the tubal condition according to the TOP classification as follows: no adhesive lesion (T0), 53% (69/129); unilateral lesion (T1), 46% (18/39); bilateral lesion with at least one tube patent, (T2), 37% (10/27); bilateral tubal occlusion (T3), 0% (0/8) (p < 0.05, Mantel-Extension test). The absence (O0-O1) or co-existence (O2-O3) of ovarian endometrioma and different gradings of cul-de-sac obliteration (P2-P3) showed no significant differences in pregnancy rate. The resulting conception rate was also not affected by the size or location of ovarian endometrioma. In addition, the higher adhesion score of ovarian endometrioma involving the fallopian tube and as described in r-AFS classification had a significant detrimental effect on fertility. These observations suggest that our TOP classification describing individual tubal condition has a clinically predictive value in assessing the reproductive outcome of women with endometriosis.
Akira Fujishita; Khaleque Newaz Khan; Hideaki Masuzaki; Tadayuki Ishimaru
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  53 Suppl 1     ISSN:  0378-7346     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  2002  
Date Detail:
Created Date:  2002-02-08     Completed Date:  2002-04-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  40-5     Citation Subset:  IM    
Copyright Information:
Copyright 2002 S. Karger AG, Basel
Department of Obstetrics and Gynecology, Nagasaki University School of Medicine, Nagasaki, Japan.
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MeSH Terms
Endometriosis / complications*,  diagnosis,  surgery
Fallopian Tubes / physiopathology*,  surgery
Infertility, Female / diagnosis,  etiology*,  surgery
Laparoscopy / methods
Ovarian Diseases / complications*,  diagnosis,  surgery
Ovarian Neoplasms / complications*,  diagnosis,  surgery
Predictive Value of Tests
Pregnancy / statistics & numerical data*
Pregnancy Outcome
Retrospective Studies
Risk Assessment
Severity of Illness Index
Statistics, Nonparametric

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

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