The authors report their findings on the data of 165 patients, having pelvic endometriosis confirmed by histology, with the presenting complaints of infertility, and also suffering from chronic pelvic pain. They attended the out-patient counseling for endometriosis of our University Department, between 1st January, 1995 and 1st January, 2000. The extent of the pelvic endometriosis was determined on the basis of the scoring system of the American Fertility Society, revised in 1985 (Revised AFS- scoring system). A short-form of the McGill pain questionnaire was used for the evaluation of chronic pelvic pain. Following the first operative intervention a GnRH therapy was given for six months. A second-look laparoscopy was performed 8-10 weeks after the end of discontinuation of the GnRH treatment. After this a chromohydrotubation was performed. In cases requiring it - a modern assisted reproductive technique (ART) was used to achieve pregnancy. In 83 patients pregnancy was achieved spontaneously, while by using ART another 77 patients conceived. After delivery and lactation these patients received a non-conventionally administered monophasic oral contraceptive treatment. The authors review potential causes of chronic pelvic pain, with a special focus on endometriosis. They emphasize the necessity of early diagnosis and appropriate surgical treatment. No correlation was found between the severity of endometriosis staged by RAFS score and the severity of chronic pelvic pain. They emphasize on the early diagnosis by laparoscopy and the necessity of appropriate operative treatment in endometriosis. Upon the two years' follow-up with the non-conventionally administered oral contraceptive treatment a recurrence was observed in ten percent of the cases.
|Translated title of the contribution||Endometriosis-induced infertility and chronic pelvic pain|
|Number of pages||9|
|Journal||Magyar Noorvosok Lapja|
|Publication status||Published - Mar 31 2004|
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology