Pregnancy Outcome in Infertility Patient with Endometriosis Cyst after Laparoscopic Cystectomy

Abstract

Objective: To investigate about the rate of pregnancy in women who had undergone laparoscopic cystectomy. Methods: This was a retrospective study. Data were taken from the medical records of patients with infertility in Fatmawati Hospital, Jakarta, Indonesia. Data then analyze to know is there any association between age, infertility duration, bilaterality of the cyst, tubal patensy, r-AFS stage with pregnancy rate. Results: A total of 64 subjects were recruited in this study. There were 23 subjects (35.9%) that got pregnant within one year after undergoing laparoscopic procedure. Those who were 35 years old or less had a greater chance to get pregnant (p = 0.01, OR = 6.75), duration of infertility ï‚£ 3 years had a greater chance to get pregnant with OR = 3.2 and p value = 0.032, r-AFS stage II and III had a greater chance to get pregnant to with (p = 0.04, OR = 3.25 and 4.25). Conclusion: The pregnancy rate after laparoscopic procedure is 35.9% in this study. There are correlation between age, duration of infertility, and r-AFS staging with pregnancy rate. [Indones J Obstet Gynecol 2018; 6-1: 34-38] Keywords: endometriosis, infertility, laparoscopy, pregnancy