External Validation of the Endometriosis Fertility Index in a French population  

Oleh:

Boujenah, Jeremy ; Bonneau, Claire ; Hugues, Jean-Noel ; Sifer, Christophe ; Poncelet, Christophe

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 104 no. 01 (Jul. 2015), page 119–123.
Topik: Endometriosis; Fertility; Index; Laparoscopy; Pregnancy; ART
Fulltext: F02 v104 n1 p119 kelik2016.pdf (448.8KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective: To show an external validation of the Endometriosis Fertility Index (EFI) and to observe cumulated pregnancy rates after infertility management combining surgery and assisted reproductive technologies (ART). Design: Observational study from January 2004 to December 2012. Setting: Tertiary-care university hospital and ART center. Patient(s): Four hundred twelve infertile and endometriotic patients after laparoscopic surgery. Intervention(s): Surgical diagnosis and treatment followed by spontaneous fertility or ART management. Main Outcome Measure(s): Spontaneous pregnancy rates and cumulative (spontaneous and ART) pregnancy rates according to the EFI. Result(s): A significant relationship between EFI and spontaneous pregnancy rates was observed at 12 months (P=.001). The least function score and complete removal of endometriotic lesions and pelvic adhesions were significantly associated with spontaneous pregnancy (P=.006). Cumulative pregnancy rate at 18 months was 78.8%. ART benefits for pregnancy rates were higher for patients with poor EFI. Conclusion(s): External validation of the EFI in a French population was demonstrated. Combining surgery for endometriosis and ART led to a 78.8% pregnancy rate at 18 months after surgery.

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