EFFICIENCY OF TREATMENT FOR INFERTILITY ASSOCIATED WITH PERITONEAL AND OVARIAN ENDOMETRIOSIS
Objective. To analyze the results of infertility treatment using operative laparoscopy postoperatively supplemented with ovulation inducers during artificial insemination with husband’s semen (AIHS) in patients with different manifestations of peritoneal and ovarian endometriosis (PE and OE). Subjects and methods. Two hundred and eighty-eight 288 infertile patients not older than 38 years with PE or OE manifesting as uni- or bilateral endometrioid ovarian cysts (EOC) were examined. Surgery was performed at the first stage. The second treatment stage, namely: in vitro fertilization (IVF), was switched if surgical treatment of infertility and ovulation inducers during AIHS were ineffective. Results. Endometriosis-associated infertility treatment successively using surgical methods, ovulation inductors during AIHS and IVF is highly effective in relatively mild peritoneal and ovarian endometriosis. In severe forms of the disease (Stage 3—4 PE, bilateral EOC), it is advisable to use IVF as early as possible after surgical treatment since the probability of spontaneous pregnancy or successful administration of ovulation inducers in the postoperative period is extremely low in these cases.