The use and effectiveness of in vitro fertilization in women with endometriosis: the surgeon's perspective

ObjectiveTo assess the use and effectiveness of IVF in a cohort of women undergoing surgery for endometriosis.DesignCohort study.SettingUniversity hospital.Patient(s)Four hundred thirty-eight patients who attempted to become pregnant after conservative surgery for endometriosis.Intervention(s)Interview.Main Outcome Measure(s)Pregnancy and IVF use.Result(s)One hundred ninety-four women conceived in vivo (44%). One hundred twenty-four women did not undergo IVF despite their infertility status (51% of the group of women who failed to conceive in vivo). One hundred thirty-nine women underwent at least one IVF attempt. The cumulative rate of IVF use at 36 months of infertility was 33%. The live-birth/ongoing pregnancy rate per started cycle and per patient was 10% and 20%, respectively.Conclusion(s)In a large tertiary care and referral center, IVF played only a minor role in the treatment of endometriosis-associated infertility.