Outcome of in vitro fertilization and ovarian response after endometrioma stripping at laparoscopy and laparotomy
Journal of Reproductive Medicine for the Obstetrician and Gynecologist, cilt.52, sa.9, ss.805-809, 2007 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 52 Sayı: 9
- Basım Tarihi: 2007
- Dergi Adı: Journal of Reproductive Medicine for the Obstetrician and Gynecologist
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.805-809
- Anahtar Kelimeler: endometrioma stripping, laparoscopy, laparotomy, IVF, ovarian response
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
OBJECTIVE: To add further data on in vitro fertilization (IVF) outcome and ovarian response after endometrioma stripping via either laparoscopy or laparotomy. STUDY DESIGN: IVF outcome and ovarian response parameters in patients who had undergone unilateral endometrioma stripping at laparoscopy (n=28) or laparotomy (n = 10) before IVF were retrospectively compared. RESULTS: Fertilization rates, number of embryos transferred and pregnancy rates did not differ between the groups. Significantly more recombinant FSH was used to inducefolliculogenesis, and fewer metaphase II oocytes were retrieved in the laparotomy group. The laparotomy-postcystectomy ovaries were significantly smaller and malpositioned. In both stripping groups, significantly smaller operated-on ovaries with lower numbers of antral and mature follicles were observed as compared to intact ovaries. CONCLUSION: A higher amount of FSH is needed to achieve an acceptable IVF outcome after unilateral endometrioma surgery. Indications for surgical treatment of patients having larger and bilateral cysts with an expectation for future fertility should be cautiously reviewed. © Journal of Reproductive Medicine®, Inc.