The endometriosis fertility index efi has a predictive value for pregnancy. To develop a clinical tool that predicts pregnancy rates prs in patients with surgically documented endometriosis who attempt. Therefore, the endometriosis fertility index efi was developed for clinicians to predict patient fertility status in those patients with surgically documented disease 12. The endometriosis fertility index efi is the first validated scoring. The most widely used staging system of endometriosis is the revised american fertility society classification. Role of endometriosis fertility index system in predicting nonivf conception in patients with surgically documented endometriosis. To assess the relationship between efi and the outcomes of ivf. Fertility physicians of northern california, palo alto and san jose, california objective.
The most widely used staging system of endometriosis in ivf is the revised american fertility society rafs which has limited predictive ability for pregnancy after surgery. Endometriosis fertility index predicts live births following surgical. Endometriosis endometriosis, also called endo, happens when the lining of the uterus womb grows outside of the uterus. Prospective data collection on 579 patients and comprehensive statistical analysis to derive a new staging systemthe endometriosis fertility index efifrom data rather than a priori assumptions, followed by testing the efi prospectively on 222 additional patients for correlation of predicted and actual outcomes. The endometriosis fertility index efi is used to predict fecundity after endometriosis surgery. In vitro fertilization and embryo transfer ivfet is a good treatment to infertility. In addition to classifying endometriosis, the documentation of surgical findings, such as in endometriosis fertility index efi, has been found to have a prognostic value in infertile women. To develop a clinical tool that predicts pregnancy rates prs in patients with surgically documented endometriosis who attempt nonivf. The asrm recently has produced a document that addresses the complexity of dor 6. The endometriosis fertility index efi is used to predict fecundity after. Endometriosis fertility index score maybe more accurate for. Endometriosis is a disease that can cause infertility and pain or both. The endometriosis fertility index efi has a predictive value for pregnancy after surgery.
The proposed endometriosis fertility index efi has been externally. The efi predicts pregnancy rates in endometriosis patients who want to get pregnant following surgical assessment and treatment of. A sensitivity analysis was performed to assess the effect on the efi of potential differences in the assignment of the least function scores by different surgeons. The role of the endometriosis fertility index efi and. Clinical outcome analysis and correlation of reproductive outcome. The efi is a scientificallyderived, validated and professionally recognized index that enables clinicians to provide better care to their patients. Precisely how it causes infertility is often debated but when the endometriosis distorts the reproductive organs, then it can cause a mechanical dysfunction of ovum pickup or spermembryo transportation. Endometriosis, endometriosis fertility index, infertility, laparoscopy. The pain happens most often during your period, but it can also happen at other times. Endometriosis fertility index as a predictor of natural pregnancy after. Comments on the release of the 5th edition of the who laboratory manual for the. Pdf role of endometriosis fertility index system in predicting non. Welcome to the endometriosis fertility index efi calculator. Pdf endometriosis fertility index score maybe more accurate for.
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