Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles

Objective: To report our experience in patients with previous IVF failures who conceived after laparoscopic treatment of endometrosis. Design: Retrospective case series. Setting: Tertiary center IVF and endoscopy programs. Patient(s): Infertility patients with history of prior IVF failures. Intervention(s): Laparoscopic evaluation and treatment of endometrosis by the same surgeon. Main Outcome Measure(s): Occurence of conception after laparoscopic treatment of endometriosis. Result(s): Of 29 patients with prior IVF failures, 22 conceived after laparoscopic treatment of endometriosis including 15 non-IVF pregnancies and 7 IVF pregnancies. Conclusion(s): In the abscence of tubal occlusion or severe male factor infertility, laparoscopy may still be considered for the treatment of endometriosis even after multiple IVF failures.