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Clinical factors influencing the pregnancy outcome after laparoscopic treatment in endometriosis-associated infertility patients: a retrospective study.
Sindan, Namita; Bhandari, Adheesh; Sindan, Namrata; Kc, Rajan; Xia, Erjie; Lin, Yue.
Afiliación
  • Sindan N; Department of Gynecology and Obstetrics, Paropakar Maternity and Women's Hospital Kathmandu 00977, Nepal.
  • Bhandari A; Department of Reproductive Center, The Second Affiliated Hospital of Wenzhou Medical University Wenzhou, Zhejiang, PR China.
  • Sindan N; Department of Thyroid and Breast Surgery, The First Affiliated Hospital of Wenzhou Medical University Wenzhou, Zhejiang, PR China.
  • Kc R; Department of Paediatrics, Karnali Academy of Health Sciences Jumla, Nepal.
  • Xia E; Central Department of Zoology, Tribhuwan University Kirtipur, Kathmandu, Nepal.
  • Lin Y; Department of Thyroid and Breast Surgery, The First Affiliated Hospital of Wenzhou Medical University Wenzhou, Zhejiang, PR China.
Am J Transl Res ; 13(4): 2399-2409, 2021.
Article en En | MEDLINE | ID: mdl-34017398
INTRODUCTION: Endometriosis is an illness caused by the presence of foci of endometrial implants outside the uterine cavity. Laparoscopy (minimally invasive surgical method) is considered as the definitive treatment for Endometriosis. METHOD: Clinical data from January 2014 till December 2018, between the ages of 20 and 40 years were collected. A total of 175 women with pelvic Endometriosis complicated with infertility, underwent laparoscopy in our hospital, were followed up to assess fertility outcome. We analyzed using univariate logistic regression analysis as well as multivariate logistic analysis. RESULTS: We analyzed the relationship between them by logistic regression analysis. Univariate logistic regression analysis indicated that the significant factors for influencing pregnancy were the following factors: age, infertility types: primary or secondary infertility, treatment with Gonadotrophin Releasing Hormone-agonist, r-AFS grade, operative method: excision or ablation. And multivariate logistic regression using all the factors also revealed that age, infertility types: primary or secondary, treatment with GnRH-a, revised- American Fertility Society grading and operative method: excision or ablation were positively correlated and were the significant factors to influence pregnancy outcome. While the other factors such as Body Mass Index, and endometriosis along with other gynecological pathology were not statistically significant. CONCLUSIONS: In this study, we found out that age, infertility type, treatment with Laparoscopy surgery, use of GnRH-a after the operation, grading of the disease, and different types of operative methods were found to be significant and were found to be the factors which influenced the pregnancy outcome.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: Am J Transl Res Año: 2021 Tipo del documento: Article País de afiliación: Nepal Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: Am J Transl Res Año: 2021 Tipo del documento: Article País de afiliación: Nepal Pais de publicación: Estados Unidos