CONTROVERSY : LAPAROSCOPY : ANY ROLE IN THE TREATMENT OF INFERTILITY ? Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles

Objective: To report our experience in patients with previous IVF failures who conceived after laparoscopic treatment of endometriosis. Design: Retrospective case series. Setting: Tertiary center IVF and endoscopy programs. Patient(s): Infertility patients with history of prior IVF failures. Intervention(s): Laparoscopic evaluation and treatment of endometriosis by the same surgeon. Main Outcome Measure(s): Occurrence of conception after laparoscopic treatment of endometriosis. Result(s): Of 29 patients with prior IVF failures, 22 conceived after laparoscopic treatment of endometriosis, including 15 non-IVF pregnancies and 7 IVF pregnancies. Conclusion(s): In the absence of tubal occlusion or severe male factor infertility, laparoscopy may still be considered for the treatment of endometriosis even after multiple IVF failures. (Fertil Steril 2005;84:1574–8. ©2005 by American Society for Reproductive Medicine.)

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