The Efficacy of Medical Treatment and Laparoscopic Surgery in Endometriosis

Abstract

Background Endometriosis is one of the most common diseases in gynecology.
Aim: to discuss whether the combination of laparoscopic surgery and medical therapy is
the most appropriate treatment for endometriosis.
Subjects and Methods: 50 female patients treated for infertility and pelvic pain who
underwent a laparoscopic surgical procedure to remove the foci of endometriosis in were
retrospectively analyzed. After the surgical procedure and Medical treatment, patients
were observed over a period of 12 months.
Results: 50 female patients with primary infertility, in whom endometriosis was
diagnosed. In the patients who underwent a surgical procedure, the diagnosed lesions
were completely removed surgically. After the procedure, the patients underwent a 12-
month-long observation. In 17 out of 50 patients who underwent the surgical procedure, a
clinical pregnancy was diagnosed. 11 out of 50 women became pregnant spontaneously,
6 out of 50 patients became pregnant as a result of Induction. The surgical procedure,
regardless of its effect on fertility, reported a decrease or discontinuance of aliments
which accompanied endometriosis, such as pain in the pelvis minor, dysmenorrhea, and
dyspareunia.
Conclusion: Operative laparoscopy is an efficient method for treating infertility and
chronic pelvic pain related to endometriosis.