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Endometriosis and Infertility: Prognostic Value of #Enzian Classification Compared to rASRM and EFI Score
This study’s objective was to compare the predictive validity of the three most utilized classification scores for endometriosis, #Enzian, EFI, and rASRM, in achieving a spontaneous pregnancy or pregnancy via assisted reproductive technology (ART) after surgery for endometriosis. The monocentric ret...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9605607/ https://www.ncbi.nlm.nih.gov/pubmed/36294762 http://dx.doi.org/10.3390/jpm12101623 |
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author | Fruscalzo, Arrigo Dayer, Arnaud Londero, Ambrogio Pietro Guani, Benedetta Khomsi, Fathi Ayoubi, Jean-Marc Feki, Anis |
author_facet | Fruscalzo, Arrigo Dayer, Arnaud Londero, Ambrogio Pietro Guani, Benedetta Khomsi, Fathi Ayoubi, Jean-Marc Feki, Anis |
author_sort | Fruscalzo, Arrigo |
collection | PubMed |
description | This study’s objective was to compare the predictive validity of the three most utilized classification scores for endometriosis, #Enzian, EFI, and rASRM, in achieving a spontaneous pregnancy or pregnancy via assisted reproductive technology (ART) after surgery for endometriosis. The monocentric retrospective study was carried out from January 2012 to December 2021 at the gynaecology department of the cantonal hospital of Fribourg. Patients consulting for infertility and operated on for endometriosis with histological confirmation were included. The predictive value of #Enzian, rASRM, and EFI was evaluated and compared concerning the prediction of fertility after surgery, both spontaneous and ART, during the following 12 months. A total of 58 women (mean age 33.1 ± 4.57 years) were included. Overall, 30 women achieved a pregnancy, seven spontaneously. Among all women who achieved a pregnancy, there was a lower prevalence of rASRM stage III–IV (16.67% vs. 39.29%, p = 0.054). Women achieving a pregnancy had a significantly higher EFI score than others (p < 0.05). No significant differences were observed concerning the #Enzian score. In conclusion, the revised #Enzian score is not correlated with pregnancy achievement; EFI score is the only score significantly associated with the pregnancy outcome in women affected by endometriosis. |
format | Online Article Text |
id | pubmed-9605607 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-96056072022-10-27 Endometriosis and Infertility: Prognostic Value of #Enzian Classification Compared to rASRM and EFI Score Fruscalzo, Arrigo Dayer, Arnaud Londero, Ambrogio Pietro Guani, Benedetta Khomsi, Fathi Ayoubi, Jean-Marc Feki, Anis J Pers Med Article This study’s objective was to compare the predictive validity of the three most utilized classification scores for endometriosis, #Enzian, EFI, and rASRM, in achieving a spontaneous pregnancy or pregnancy via assisted reproductive technology (ART) after surgery for endometriosis. The monocentric retrospective study was carried out from January 2012 to December 2021 at the gynaecology department of the cantonal hospital of Fribourg. Patients consulting for infertility and operated on for endometriosis with histological confirmation were included. The predictive value of #Enzian, rASRM, and EFI was evaluated and compared concerning the prediction of fertility after surgery, both spontaneous and ART, during the following 12 months. A total of 58 women (mean age 33.1 ± 4.57 years) were included. Overall, 30 women achieved a pregnancy, seven spontaneously. Among all women who achieved a pregnancy, there was a lower prevalence of rASRM stage III–IV (16.67% vs. 39.29%, p = 0.054). Women achieving a pregnancy had a significantly higher EFI score than others (p < 0.05). No significant differences were observed concerning the #Enzian score. In conclusion, the revised #Enzian score is not correlated with pregnancy achievement; EFI score is the only score significantly associated with the pregnancy outcome in women affected by endometriosis. MDPI 2022-10-01 /pmc/articles/PMC9605607/ /pubmed/36294762 http://dx.doi.org/10.3390/jpm12101623 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Fruscalzo, Arrigo Dayer, Arnaud Londero, Ambrogio Pietro Guani, Benedetta Khomsi, Fathi Ayoubi, Jean-Marc Feki, Anis Endometriosis and Infertility: Prognostic Value of #Enzian Classification Compared to rASRM and EFI Score |
title | Endometriosis and Infertility: Prognostic Value of #Enzian Classification Compared to rASRM and EFI Score |
title_full | Endometriosis and Infertility: Prognostic Value of #Enzian Classification Compared to rASRM and EFI Score |
title_fullStr | Endometriosis and Infertility: Prognostic Value of #Enzian Classification Compared to rASRM and EFI Score |
title_full_unstemmed | Endometriosis and Infertility: Prognostic Value of #Enzian Classification Compared to rASRM and EFI Score |
title_short | Endometriosis and Infertility: Prognostic Value of #Enzian Classification Compared to rASRM and EFI Score |
title_sort | endometriosis and infertility: prognostic value of #enzian classification compared to rasrm and efi score |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9605607/ https://www.ncbi.nlm.nih.gov/pubmed/36294762 http://dx.doi.org/10.3390/jpm12101623 |
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