Could laparoscopic cystectomy improve intrauterine insemination with controlled ovarian hyperstimulation outcomes in women with endometrioma?

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dc.contributor.authorGüleç, Ebru Şahin
dc.contributor.authorÖztekin, Deniz
dc.contributor.authorKaraca, Suna Yıldırım
dc.date.accessioned2023-03-22T19:47:24Z
dc.date.available2023-03-22T19:47:24Z
dc.date.issued2022
dc.departmentBelirleneceken_US
dc.description.abstractObjectives: To clarify the effects of laparoscopic cystectomy of endometriomas on intrauterine insemination with controlled ovarian hyperstimulation (COH + IUI) success in women with the disease. Material and methods: We performed a retrospective study with endometrioma patients having at least one patent fallopian tube. The study group consisted of 57 infertile patients with a history of laparoscopic cystectomy who underwent 83 COH + IUI cycles. The control group consisted of 88 patients with endometrioma who underwent 161 COH + IUI cycles without surgery.Results: The total number of antral follicles was significantly lower in the study group than in the control group (10.1 +/- 5.1 vs 11.9 +/- 5.0; p = 0.008). No significant difference was observed in the clinical pregnancy and live birth rates per cycle [(9.6% vs 7.6%; p=0.7175 OR: 1.195% CI: 0.6-2.1) and (7.2% vs 6.2%; p = 0.9544 OR: 1.1 95% CI: 0.5-2.1], respectively) between the operated and non-operated groups. Conclusions: The results of the study show that the presence of an endometrioma with at least one patent fallopian tube does not require any cystectomy before COH+IUI treatment because no improvement was observed in the treatment outcomes of the patients who underwent preceding surgery. We conclude that an operation may be taken into consideration when malignancy cannot be ruled out or severe pelvic pain related to endometrioma cannot be relieved.en_US
dc.identifier.doi10.5603/GP.a2022.0040
dc.identifier.endpage654en_US
dc.identifier.issn0017-0011
dc.identifier.issn2543-6767
dc.identifier.issue8en_US
dc.identifier.pmid35894490en_US
dc.identifier.scopus2-s2.0-85137283306en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage650en_US
dc.identifier.urihttps://doi.org/10.5603/GP.a2022.0040
dc.identifier.urihttps://hdl.handle.net/20.500.14034/676
dc.identifier.volume93en_US
dc.identifier.wosWOS:000906872100001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVia Medicaen_US
dc.relation.journalGinekologia Polskaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectendometriomaen_US
dc.subjectovulation inductionen_US
dc.subjectinseminationen_US
dc.subjectlaparoscopic surgeryen_US
dc.subjectpregnancy rateen_US
dc.subjectlive birthen_US
dc.subjectAntral Follicle Counten_US
dc.subjectSurgeryen_US
dc.subjectMetaanalysisen_US
dc.subjectInfertilityen_US
dc.subjectPregnancyen_US
dc.subjectExcisionen_US
dc.subjectDamageen_US
dc.titleCould laparoscopic cystectomy improve intrauterine insemination with controlled ovarian hyperstimulation outcomes in women with endometrioma?en_US
dc.typeArticleen_US

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