Management of patients with endometriosis and infertility: laparoscopy treatment and spontaneous pregnancy rate

YANINA RODRÍGUEZ; LAUTARO TESSARI; FLORENCIA PEROTTI; MARCELA IRIGOYEN; ANTONIO CATTANEO; ESTEBAN GRASSO; ROSANNA RAMHORST; DIEGO GNOCCHI

Medellin

Congreso; 16 Congreso General RedLARA; 2023

Red Latinoamericana de Reproducción Asistida

IntroductionEndometriosis is a frequent worldwide disease, with a prevalence estimate between 2%- 10% for women in the general, and increases up to 50% in infertile women. The high efficacy of modern-day assisted reproductive technology (ART) has led to progressively adopting ART-first approaches, particularly for women with endometriosis. These characteristics of infertility management lead to the following questions: Does laparoscopy play a role in these patients? What other factors are involved for a spontaneous pregnancy? Here we propose to evaluate the spontaneous pregnancy rate after surgical treatment in patients with endometriosis. Materials and Methods: Retrospective study, from 2014 to 2020 of 2 years followup of patients with endometriosis-related infertility and laparoscopic surgery from “Fertilis -Sanatorio las Lomas”. Most of the patients reported symptoms improvement. Of 303 after surgery, 200 complied with selection criteria and were analyzed and classified according to fertility treatment as: patients that used ART immediately 16.5% (ART-p); while 83.5% waited for an spontaneous pregnancy. From the last group 71.9% reach a spontaneous pregnancy (SP-p) while 28.1% was not able to and required ART (23.5%, NSP-p). Groups have no significant demographic differences. Age, endometriosis ASRM score (EAS), initial symptoms, primary/secondary sterility, time of sterility, tubal and uterine quality, and time until pregnancy were recorded. Age was also grouped as