ArticleBMC pregnancy and childbirth2021
Pregnancy outcomes in women with infertility and coexisting endometriosis and adenomyosis after laparoscopic surgery: a long-term retrospective follow-up study.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Reproductive outcomes after fertility-sparing interventions for symptomatic adenomyosis: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2025Pooled it
- Sonographic and Clinical Progression of Adenomyosis and Coexisting Endometriosis: Long-Term Insights and Management Perspectives.Journal of personalized medicine · 2025Article
- Value of endometrial peristalsis analysis technique in detecting and analyzing endometrial peristalsis features.World journal of radiology · 2025Article
- The impact of surgical intervention on time to conception and obstetric outcomes in women with endometriomas: a retrospective cohort study.BMC pregnancy and childbirth · 2025Article
- Uterine anteroposterior diameter predicts spontaneous pregnancy outcomes in women under 35 years with adenomyosis: a retrospective study.BMC pregnancy and childbirth · 2025Article
- Clinical efficacy of etonogestrel implants on relieving dysmenorrhea in endometriosis and adenomyosis women for up to 3 years.Frontiers in medicine · 2025Article
- How does chronic endometritis influence pregnancy outcomes in endometriosis associated infertility? A retrospective cohort study.Reproductive health · 2024Article
- The Impact of Adenomyosis on Pregnancy.Biomedicines · 2024Review
- Proposed classification of adenomyosis in Infertile women to simplify management options undergoing ART.JBRA assisted reproduction · 2024Article
- Cystic Adenomyoma in Pregnancy: A Case Report.International journal of women's health · 2024Article
- Nurturing Hope: Reproductive Outcomes with Sinosomatics following Unsuccessful in vitro Fertilization Attempts.Complementary medicine research · 2024Article
- Critical appraisal and narrative review of the literature in IVF/ICSI patients with adenomyosis and endometriosis.Frontiers in reproductive health · 2024Article
- Effects of localization of uterine adenomyosis on clinical features and pregnancy outcome.Scientific reports · 2023Article
- Value of Early Laparoscopic Exploration for Primary Infertile Patients with Patent Fallopian Tubes Complicated with Pelvic Effusion.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- Obstetric Outcome After Surgical Treatment of Endometriosis: A Review of the Literature.Frontiers in reproductive health · 2021Review
- The Asian Society of Endometriosis and Adenomyosis guidelines for managing adenomyosis.Reproductive medicine and biologyArticle
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6 authors.
Funding
Abstract
backgroundAdenomyosis (AM) and endometriosis (EM) often coexist. Laparoscopic surgery is one of the main methods for diagnosing and treating these conditions. This study aims to investigate the pregnancy outcomes of women with infertility with both AM and EM after laparoscopic surgery and to identify the relevant associated factors.
methodsThis is a retrospective study involving women with infertility diagnosed with EM and AM. All patients had undergone laparoscopic surgery and were divided into two groups according to their pregnancy outcomes. Demographic data, operation records, and pregnancy outcomes were collected.
resultsA total of 226 female patients with infertility diagnosed with both AM and EM underwent laparoscopic surgery. Of these, a total of 176 patients completed follow-up. Ninety-seven patients had live births, including 81 full-term and 16 preterm deliveries. The clinical pregnancy and live birth rates were 67.4 and 55.11%, respectively. One hundred thirty-five patients received in vitro fertilization (IVF), with 70 (51.85%) of these patients having live births. Age, endometrioma size, and uterus size were significantly lower in those who had a successful delivery. There was no statistically significant difference in symptoms, except that those who achieved live birth had a lower rate of anaemia (13.40% vs. 25.32%, p = 0.044). The group that did not proceed to have a live birth had a higher percentage of ovarian and peritoneal endometriosis (p < 0.05), while the distribution of deep infiltrating endometriosis and adenomyosis types were similar. Mean uterus diameter (OR: 0.636, 95% CI: 0.434-0.932, p = 0.020) and endometriosis fertility index (EFI) (OR: 1.299, 95% CI: 1.101-1.531, p = 0.002) were significantly correlated with live birth in the multivariable analysis.
conclusionsEndometriosis and adenomyosis appear to have an adverse effect on pregnancy outcome. These might be related to the size of the uterus and EFI. Obstetricians and gynaecologists should be alert to this potential adverse effect and manage these patients accordingly.
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