( S ) Few studies of medical therapies for endometriosis report outcomes that are relevant to patients , and many women gain only limited or intermittent benefit from treatment
OBJECTIVE To assess patient response rates to medical therapies used to treat endometriosis-associated pain .
Effects of laparoscopic ovarian endometriosis cystectomy combined with postoperative GnRH-a therapy on ovarian reserve, pregnancy, and outcome recurrence.
OBJECTIVE The aim of this study was to investigate the impacts of laparoscopic ovarian endometriosis cystectomy combined with postoperative GnRH-a therapy on ovarian reserve , pregnancy outcome and recurrence . MATERIAL S AND METHODS This was a prospect i ve control study . The experimental group : 63 patients with combinations of laparoscopic bilateral ovarian endometrial cystectomies and gonadotropin-releasing hormone agonist ( GnRH-a ) treatment for three months . CONTROL GROUP 62 patients with laparoscopic bilateral ovarian endometrial cystectomies .  Benchmarks : the changes of follicle stimulating hormone ( FSH ) and FSH/luteinizing hormone ( LH ) , etradiol ( E2 ) in preoperative and postoperative three months or menstrual two to three days , menstrual two to three days after surgery , natural pregnancy , and cyst recurrence in 18th month during postoperative follow-up . RESULTS In experimental group after six months , the percentage of returned FSH accounted for 95.3 % of normal range , in the control group it was 82.2 % , and the difference was significant ( p < 0.05 ) . The natural pregnancy rate of preoperative infertility patients ( 57.1 % ) was higher than the control ( 36.8 % ) ( p < 0.05 ) . The recurrence rate of preoperative infertility patients ( 12.7 % ) was lower than the control ( 27.4 % ) ( p < 0.05 ) . CONCLUSION After bilateral laparoscopic ovarian endometrial cystectomy , an implement of GnRH-a therapy can improve the postoperative pregnancy rate , which changes with clinical stage and patient age , reduces ovarian recurrence , and its influence on ovarian reserve is lesser
( S ) Few studies of medical therapies for endometriosis report outcomes that are relevant to patients , and many women gain only limited or intermittent benefit from treatment
OBJECTIVE To assess patient response rates to medical therapies used to treat endometriosis-associated pain .