Spontaneous viable birth in a case of stage III pelvic endometriosis with bilateral tubal damage following diagnostic intervention: who deserves the credit?

Introduction We are reporting a case of spontaneous conception and viable birth in a woman diagnosed with stage III pelvic endometriosis and bilateral tubal blockade. Case A 30-year-old woman was investigated for primary infertility and was diagnosed with stage III pelvic endometriosis, extensive di...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2013-03, Vol.287 (3), p.473-475
Main Authors: Shekhar, Shashank, Sharma, Chanderdeep, Singh, Kamal
Format: Article
Language:English
Subjects:
Adult
Endocrinology
Endometriosis
Endometriosis - complications
Endometriosis - pathology
Fallopian Tube Diseases - complications
Fallopian Tube Diseases - pathology
Female
Fertilization
General Gynecology
Gynecology
Human Genetics
Humans
Infant, Newborn
Infertility
Infertility, Female - etiology
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Pelvis
Pregnancy
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Summary:Introduction We are reporting a case of spontaneous conception and viable birth in a woman diagnosed with stage III pelvic endometriosis and bilateral tubal blockade. Case A 30-year-old woman was investigated for primary infertility and was diagnosed with stage III pelvic endometriosis, extensive distortion of pelvic anatomy and bilateral tubal damage on diagnostic laparoscopy and chromotubation. Patient was advised in vitro fertilization; however, she chose otherwise and conceived spontaneously, delivering a healthy baby by cesarean section at term. Discussion Spontaneous conception rates amongst women with advanced endometriosis nearly approaches zero; hence, expectant management is not recommended for associated infertility. Despite being and isolated case, this report raises questions regarding the association of infertility even with advanced endometriosis and also highlights the beneficial effect pregnancy has on endometriosis.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-012-2598-6