Endometriosis Laparoscopy Enables Spontaneous Pregnancy
By T. Sadar
Although some forms of endometriosis can be determined by ultrasound examination, the final confirmation of the disease requires laparoscopy. This is a examination, where an optical instrument (camera that transmits high resolution image) is introduced into the abdominal cavity. Laparoscopy is not only a diagnostic procedure, surgeons can also perform surgery (they create extra "holes" for this).
Surgical treatment is now the first and leading treatment for endometriosis and can remove all problematic tissue. Surgical treatment enables infertile women to have spontaneous pregnancy. Chances are around 50 to 60%. Those who do not become pregnant within 6 to 12 months after surgery (depending on age women), extracorporeal fertilization is suggested.
Endometriosis can repeat itself after surgical removal. The data from different studies shows that this can happen in 20 to 60% of all endometriosis cases. Causes of recurrence are different: immunological, genetic, but mostly they depend on the quality of the first operation, which is very important. Incomplete removal of endometriosis tissue can cause extra pain and also spontaneous pregnancy is less common.