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Research by M.E. Coccia and colleagues in endometriosis provides new insights.

Women's Health Weekly

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According to a study from Florence, Italy, "Laparoscopy is considered the gold standard for treatment of endometriosis. In vitro fertilization and embryo transfer (IVF-ET) is often used to treat women with infertility associated with endometriosis."

"The objective of the study was to evaluate the pregnancy rate after surgical treatment and to assess whether a combined approach with laparoscopic surgery followed by IVF-ET can improve the ''overall'' pregnancy rate. A retrospective observational study was carried out on 107 infertile patients who underwent laparoscopic surgery for endometriosis and came at follow-up for a period of time between 1 and 11 years. Sixty-seven patients who did not become pregnant after surgery subsequently underwent IVF-ET. The pregnancy rate achieved after the integrated laparoscopy-IVF approach was 56.1%. The pregnancy rate after surgery, was significantly lower (37.4%). The fecundity rate for spontaneous conceptions within 6 months of laparoscopy (23.2%) was significantly higher (P

The researchers concluded: "When patients fail to conceive spontaneously, after a maximum of 1 year from laparoscopic surgery, IVF should be suggested."

Coccia and colleagues published the results of their research in European Journal of Obstetrics Gynecology and Reproductive ...

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