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| The value of fertility index score after operation of the women with ovarian endometriosis for predicting their natural pregnancy |
| 1. Shanghai First Maternal and Child Health Hospital, Shanghai, 200040；2. Putuo District People's Hospital of Shanghai |
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Abstract To analyze the value of fertility index (FI) score after operation of the women with ovarian endometriosis for predicting their natural pregnancy. Methods: 264 infertility women due to ovarian endometriosis had treated by laparoscopic surgery from 2015 to 2017 were collected. The postoperative FI scores of these women were conducted, and these women were followed up for 3 years. The influence factors of postoperative pregnancy rate of these women and the predictive value of EFI score for postoperative pregnancy rate of these women were analyzed. Results: Postoperative pregnancy rate of the women was positively correlated with their FI score (P＜0.001). The pregnancy rate of the women with FI score > 5 within 6 months after operation was 39.4%, which was the highest. The area under the ROC curve (AUC) of FI score for predicting postoperative pregnancy was 0.836 (95%CI: 0.716-0.935, P＜0.001). The cutoff value of EFI score for predicting pregnancy within 1 year after operation was 6.7 points, which’s sensitivity and specificity were 74.4% and 87.0%. Conclusion: Natural pregnancy rate after laparoscopic surgery of the women with ovarian endometriosis was positively correlated with their FI score. 6 months after surgery of women with ovarian endometriosis is the best time to pregnancy. The women with postoperative FI score ≥6.7 points, the postoperative natural pregnancy rate is the highest. If the women with postoperative FI score <6.0 points has not natural pregnancy within 1 year after operation, it suggest that they should be given assisted reproduction.
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