Fertility outcome after conservative surgery for XXXX : a single center experience.

@entity1 @entity43 @entity5
OBJECTIVE: The present study aims to document the experience of a single center on the reproductive outcome of a cohort of @entity1 who were treated with conservative surgery for @entity43 and to specify whether their fertility potential is associated with age, @entity5 histology and surgery type. METHODS: A total of 55 @entity1 who had undergone conservative surgery for @entity43 between January 1999 and January 2009 were eligible. Recurrence rate, fertility outcome and the number of pregnancies were analyzed retrospectively. RESULTS: Among the study group, 11 @entity1 were not sexually active both at the time of surgery and during the follow-up period. Thus, a total of 44 @entity1 attempted pregnancy after conservative surgery and 52.3% of them (23 out of 44) were able to conceive either spontaneously or by in vitro fertilization. The ability to conceive was shown to be associated with age, @entity5 histology and type of conservative surgery. As expected, the fertility potential correlated positively with decreasing age (correlation coefficient = 0.705, p = 0.001). Moreover, the existence of non-serous histology and the implementation of unilateral cystectomy were found to be associated with the ability to reach a clinical pregnancy (correlation coefficient = 0.585, p = 0.001 and correlation coefficient = 0.587, p = 0.001, respectively). CONCLUSIONS: The primary treatment of @entity43 refers to conservative surgery. Younger age, non-serous histology and unilateral cystectomy appear to be associated with favorable reproductive outcome in @entity1 who undergo conservative surgery for borderline @entity5 of ovary.
