| Long-term outcome, including pregnancy rate, recurrence rate and ovarian reserve, after laparoscopic laser ablation surgery in infertile women with endometrioma. | |
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MedLine Citation:
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PMID: 20178536 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To retrospectively assess the long-term outcome, including pregnancy rate, recurrence rate and ovarian reserve, after laser ablation surgery in infertile women with endometrioma. METHODS: From March 1997 to June 2007, 45 subfertile women underwent ablation surgery with a potassium-titanyl-phosphate laser for ovarian endometrioma. These patients were reviewed retrospectively. RESULTS: Of the 45 women, 22 became pregnant spontaneously. Among the 23 women who did not become pregnant after more than 6 months postoperatively, 16 elected to undergo in vitro fertilization (IVF), 12 of them became pregnant. The remaining 11 women did not become pregnant. Eleven women had recurrence detected by ultrasound. The mean number of oocytes retrieved per cycle during IVF was 7.3 +/- 3.6 and 4.6 +/- 2.7 from the ovary treated by ablation surgery and the contralateral ovary, respectively. CONCLUSION: The overall long-term pregnancy rate (combining spontaneous pregnancy and IVF) after laparoscopic ablation surgery for endometrioma was 75.6%. Surgery did not have any adverse effect on the ovarian reserve during subsequent IVF. |
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Authors:
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Yoshihiko Shimizu; Akiko Takashima; Kentaro Takahashi; Nobuyuki Kita; Mutsuko Fujiwara; Takashi Murakami |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The journal of obstetrics and gynaecology research Volume: 36 ISSN: 1447-0756 ISO Abbreviation: J. Obstet. Gynaecol. Res. Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-24 Completed Date: 2010-06-01 Revised Date: 2012-01-19 |
Medline Journal Info:
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Nlm Unique ID: 9612761 Medline TA: J Obstet Gynaecol Res Country: Australia |
Other Details:
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Languages: eng Pagination: 115-8 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Shiga University of Medical Science, Shiga, Japan. oshimi@belle.shiga-med.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Endometriosis
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prevention & control,
surgery* Female Humans Infertility, Female / complications* Laparoscopy / adverse effects* Laser Therapy / adverse effects* Neoplasm Recurrence, Local Oocytes* Pregnancy Pregnancy Rate* Recurrence Retrospective Studies Treatment Outcome Uterine Diseases / prevention & control, surgery* |
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