Study of endometriosis in women of reproductive age, laparoscopic management and its outcome

Valson, Hariharan; Kulkarni, Chinmay; Teli, Bhavuray; Nazer, T

doi:10.18203/2320-1770.ijrcog20160401

Cited by 7 publications

(6 citation statements)

References 23 publications

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“…Valson H et al in 2016 reported a very high prevalence of endometriosis among infertile women of about 73.33 % [20], while Mishra VV et al in 2014 reported it to be 48.38 % [21].…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Clinical and Laparoscopic Features of Endometriosis Among Infertile Women

Mishra

Bandwal

Agarwal

et al. 2016

J Obstet Gynecol India

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“…Valson H et al in 2016 reported a very high prevalence of endometriosis among infertile women of about 73.33 % [20], while Mishra VV et al in 2014 reported it to be 48.38 % [21].…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Clinical and Laparoscopic Features of Endometriosis Among Infertile Women

Mishra

Bandwal

Agarwal

et al. 2016

J Obstet Gynecol India

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“…14 The follow-up period also varied from one to two years in different studies. 15,16 Baseline characteristics of patients with and without successful spontaneous conception were similar. There was no difference in the age of females, type of infertility, duration of infertility and preoperative ultrasonographic findings making the comparison more logical and acceptable.…”

Section: Discussionmentioning

confidence: 87%

Role of Laparoscopy in Diagnosis and Treatment of Endometriosis Associated with Infertility: A Prospective Analysis

et al. 2021

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Objective: Endometriosis is often considered as an enigma due to its varied clinical presentation and challenges in diagnosis. The objective of this study is to evaluate the role of laparoscopy in diagnosis and treatment of endometriosis associated with infertility.Materials and Methods: Infertile females diagnosed to have endometriosis during or before undergoing laparoscopic surgery from August 2018 to February 2020 were followed up for spontaneous conception for 6 months following laparoscopy. Revised American Fertility Society (r-AFS) scoring system was used to score endometriosis and stage the disease (stage I-IV). Surgical interventions were done on individual cases basis following ESHRE guidelines.Results: Fifty infertile females diagnosed with endometriosis during or before laparoscopy were recruited for the study. Mean age of patients was 28.58 (±4.21) years. Thirty-four (68%) patients had primary infertility and 16 (32%) has secondary infertility. Mean duration infertility was 3.33 (±1.43). Only 37 patients (74%) had evidence of endometriosis in pre-operative ultrasonography. During the follow up period of first 6 months after surgery 34 (68%) patients conceived spontaneously. Lower mean endometriosis score (p=0.00) and early stage of endometriosis (p=0.00) were associated with higher chances of conception. But, female age, duration and type infertility, USG findings, and type of surgical interventions did not affect pregnancy rate.Conclusion: Laparoscopy helps in diagnosis of endometriosis. Laparoscopic therapeutic interventions for endometriosis increase the probability of spontaneous conception in infertile females. Lower surgical score and early stages of endometriosis are associated with higher chance of conception.

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“…Another study was carried out 200 patients who presented with symptoms of dysmenorrhea, dyspareunia, chronic pelvic pain with or/without infertility were studied in the women of reproductive age group which found that 25% (50 cases) were diagnosed as cases of endometriosis [16]. In Egypt, another study conducted among 100 patients attending Menoufia University Hospital and sub-jected to diagnostic laparoscopy reported that 33% of them had endometriosis [17]. Another study conducted among 1285 women reported; the estimated point prevalence of endometriosis was 4.0% [18].…”

Section: Discussionmentioning

confidence: 99%

Endometriosis as a Cause of Primary Infertility in Western Regions of Saudi Arabia

Khadawardi¹

2020

OJOG

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Background: Endometriosis is defined by the presence of viable extrauterine endometrial glands and stroma with unclear etiology and pathogenesis. It has been associated with female infertility. Infertility is defined as the failure of sexually active couple, not using contraception to achieve a clinical pregnancy after one year or more of regular sexual intercourse. Infertility is a symptom of endometriosis in up to 50% of women. Methods: Descriptive cross-sectional study was conducted in Kind Abdulaziz Hospital in Almina, South Jeddah, Saudi Arabia. The total sample obtained was 507 participants. Participants were married Saudi women attending the outpatient or inpatient departments in the hospital. Pre-designed disseminated questionnaire was distributed for data collection, and data were entered and analyzed using the Statistical Package for the Social Science (SPSS Inc. Chicago, IL, USA) version 23. Results: Most (47.9%) of the studied women aged 31-40 years, 41.9% were obese and 1.2% were smokers while 42.2% were passive smokers, and only 3.7% exercise regularly. Prevalence of infertility was 23.3% and endometriosis was 10.7%. It was found that there was a significant correlation between endometriosis and infertility (P = 0.025). Conclusion: Although many women with endometriosis get pregnant and deliver healthy infants, endometriosis is highly associated with infertility. More studies are needed to investigate the pathobiology of this condition.

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Study of endometriosis in women of reproductive age, laparoscopic management and its outcome

Cited by 7 publications

References 23 publications

Prevalence, Clinical and Laparoscopic Features of Endometriosis Among Infertile Women

Prevalence, Clinical and Laparoscopic Features of Endometriosis Among Infertile Women

Role of Laparoscopy in Diagnosis and Treatment of Endometriosis Associated with Infertility: A Prospective Analysis

Endometriosis as a Cause of Primary Infertility in Western Regions of Saudi Arabia

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