Skip to main content
. 2004 Jul 19;2004(3):CD003678. doi: 10.1002/14651858.CD003678.pub2

Tsai 2004.

Methods Location: Taiwan 
 No. of centres: one
Recruitment period: June 1988 to December 2001
Participants Inclusion criteria: women of reproductive age with infertility and stage III or IV endometriosis planning to undergo controlled ovarian hyperstimulation and intrauterine insemination or in vitro fertilisation and embryo transfer. All had surgery for endometriosis ‐ either laparotomy or laparoscopy for cystectomy, adhesiolysis, ablation of endometriosis 
 Exclusion criteria: NS 
 No. randomised: 45 
 No. analysed: 41
Interventions Post‐operative medical therapy (either danazol or GNRH analogue) 
 Gr A (n=15 ): either 3 months 400 mg danazol orally, twice daily for 3 months or 3.75 mg leuprolide acetate depot SC every 28 days for 3 months 
 Gr B (n= 30): no post‐operative medical treatment
Outcomes Pregnancy rate, recurrence
Notes Power calculation: NS 
 Funding: NS
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "simple randomisation with a computer generated list unknown to physicians"
Allocation concealment (selection bias) Low risk list "unknown to physicians"
Blinding (performance bias and detection bias) 
 All outcomes High risk not mentioned, no placebo
Incomplete outcome data (attrition bias) 
 All outcomes High risk 4 lost to follow up from Gr A (27%)
Selective reporting (reporting bias) Low risk pregnancy and recurrence reported
Other bias Unclear risk 13 years of recruitment ‐ ? associated changes in surgical techniques over this time