Title : An examination of the effectiveness of laparoscopic surgery as a Treatment for pain and infertility associated with endometriosis, compared to the effectiveness of non-surgical interventions in omen: A systematic review
Abstract:
This Systematic Review was conducted between September 2022- July 2023. The primary outcomes include; Pain via Visual Analogue Scale (VAS) score reduction in pelvic pain and dysmenorrhea and Infertility improvement through evaluation of pregnancy and live birth rates. Six papers focused on pain management, with six focusing on Infertility management.
Methods:
This Systematic Review was conducted between September 2022- July 2023. The primary outcomes include; Pain via Visual Analogue Scale (VAS) score reduction in pelvic pain and dysmenorrhea and Infertility improvement through evaluation of pregnancy and live birth rates. Six papers focused on pain management, with six focusing on Infertility management.
Results:
Medical Interventions (mean±SD)
• Pelvic Pain VAS reduction: 6.05 ± 0.56
• Dysmenorrhea VAS reduction: 5 ± 1.12
• Live Birth Rate: 0.25 ± 0.026
• Pregnancy Rate: 0.2233 ± 0.155
Surgical Interventions (mean±SD)
• Pelvic Pain VAS reduction: 2.29 ± 0.195
• Dysmenorrhea VAS reduction: 4.2 ± 0.54
• Live Birth Rate: 0.3483 ± 0.095
• Pregnancy Rate: 0.38 ± 0.14
Conclusion:
This Systematic Review concludes that medical interventions offer a statistically significant benefit for pelvic pain and dysmenorrhea VAS score reduction among Endometriosis patients.