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  • Title: Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles.
    Author: Littman E, Giudice L, Lathi R, Berker B, Milki A, Nezhat C.
    Journal: Fertil Steril; 2005 Dec; 84(6):1574-8. PubMed ID: 16359945.
    Abstract:
    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.
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