Publication:

Fertility outcomes following laparoscopic management of endometriosis: a prospective study from a tertiary fertility centre

Background Endometriosis is a common gynecological disorder affecting approximately 10–15% of reproductive-aged women and is strongly associated with infertility and pelvic pain. Laparoscopic surgery plays an important role in the diagnosis and management of endometriosis. This study aimed to evaluate fertility outcomes following laparoscopic management of endometriosis.

Methods This prospective study was conducted at Sudha Sundar Fertility Hospital, Tamil Nadu between January 2018 and August 2022. A total of 53 women diagnosed with endometriosis who underwent laparoscopic surgery were included. Procedures included laparoscopic cystectomy, adhesiolysis, and fulguration of endometriotic lesions. Patients were followed up for fertility outcomes.

Results Most patients belonged to the age group of 31–35 years (43.3%). Primary infertility was present in 86.7% of patients. Advanced disease (stage III–IV) was observed in the majority of cases. The overall pregnancy rate following laparoscopic treatment was 45.29%.

Conclusions Laparoscopic management of endometriosis improves fertility potential and assists in planning further assisted reproductive techniques when required.