Reproductive performance in infertile women with rectovaginal endometriosis: Is surgery worthwhile?

Paolo Vercellini, Giuliana Pietropaolo, Olga De Giorgi, Raffaella Daguati, Roberta Pasin, Pier Giorgio Crosignani

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: This study was undertaken to ascertain whether the incidence of pregnancy is increased and time-to-conception is reduced in infertile women with rectovaginal endometriosis undergoing conservative surgery compared with those on expectant management. Study design: A total of 105 infertile women under the age of 40 years with rectovaginal endometriosis and no other associated major infertility factor underwent first-line conservative surgery at laparotomy or expectant management according to a shared decision-making approach. Results: Among the 44 women who had resection of rectovaginal endometriosis, 15 became pregnant, compared with 22 of the 61 women who choose expectant management (24-month cumulative probabilities, 44.9% and 46.8%, respectively; log-rank test, χ21 = 0.75; P = .38). One major and 9 minor postoperative complications occurred. Significant differences in pain-free survival time in favor of the surgery group were observed for dysmenorrhea, dyspareunia, and dyschezia. Conclusion: Conservative surgery for rectovaginal endometriosis in infertile women does not modify the reproductive prognosis although it does increase pain-free survival time.

Original languageEnglish
Pages (from-to)1303-1310
Number of pages8
JournalAmerican Journal of Obstetrics and Gynecology
Volume195
Issue number5
DOIs
Publication statusPublished - Nov 2006

Keywords

  • Conservative surgery
  • Endometriosis
  • Infertility
  • Pelvic pain

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynaecology

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