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TerminatedNCT04610710EFFORTUpdated Mar 10, 2026

Impact of Operation on Fertility for Women With Severe Endometriosis

An interventional study of Operation and Fertility treatment in Deep Endometriosis and Infertility, Female, sponsored by Horsens Hospital. Terminated at 3 sites in 2 countries. Open to female participants aged 18 Years to 38 Years. Per ClinicalTrials.gov, last updated 2026-03-10.

Sponsored by Horsens Hospital · Not applicable, Interventional, and Treatment

Why this study was terminated
Enrolment of study participants was too challenging and long-drawn.
Phase
Not applicable
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
18 Years to 38 Years
Sex
Female
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Study summary

The EFFORT study compares the impact on fertility of operation or fertility treatment (IVF, in vitro fertilization) in a multicenter randomized controlled trial. The study population consists of women with colorectal deep infiltrating endometriosis and a pregnancy intention. These women will be randomized to either of the two treatment groups: Group A = Operation or Group B = fertility treatment (IVF). Group A will be further divided postoperatively into spontaneous conception or IVF depending on the Endometriosis Fertility Index score.

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Conditions studied

  • Deep Endometriosis
  • Infertility, Female

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03

In context

Infertility, Female

540 studies on the registry are indexed under Infertility, Female; 138 are open to participants now.

This study's enrollment of 38 is below the median of 100 across 371 interventional studies indexed under Infertility, Female.

Browse Infertility, Female studies →

Lead sponsor

Horsens Hospital is the lead sponsor of 10 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 38 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Rectosigmoid endometriosis and wish for surgery
  • Pregnancy intention for at least 6 months
  • AMH above 5 pmol/ml
  • Maximum of 2 previous IVF treatments
  • Male partner

Exclusion criteria

Exclusion Criteria:

  • Endometriosis involving the ureter unilaterally or bilaterally (randomization unethical)
  • BMI above 32
  • Contraindication for IVF (untreated uterine factor infertility, untreated/maltreated systemic or malignant disease, oocyte aspiration severely riskful (e.g. severe abdominal adhesions)
  • No wish for randomization
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
38 participants (actual)

Study arms

  • Active comparator
    Operation

    Operation for severe endometriosis

    Procedure: Operation

  • Active comparator
    Fertility treatment

    Fertility treatment for women with severe endometriosis.

    Procedure: Fertility treatment

Interventions

  • ProcedureOperation

    Operation for deep infiltrating endometriosis

  • ProcedureFertility treatment

    In vitro fertilisation (IVF) and IVF-intracytoplasmic injection (ICSI)

06

What researchers measure

Primary outcomes

  1. Cumulative pregnancy rate (CPR)

    Rate of cumulative pregnancies defined as a fetal heartbeat by ultrasound at gestational week 6 to 8

    Time frame: 18 months

  2. Live birth rate (LBR)

    Rate of live births

    Time frame: 18 months

Secondary outcomes

  1. Non-viable pregnancies

    Number of biochemical pregnancies, miscarriages, missed abortions, extrauterine pregnancies and pregnancies of unknown location (PUL)

    Time frame: 18 months

  2. Ovarian potential

    Concentration of Anti-Müllerian hormone (AMH)

    Time frame: Baseline and 9-18 months

  3. Time to pregnancy

    Shortest time from intervention date to date of visualisation of the first ongoing pregnancy

    Time frame: 18 months

  4. Postoperative complications

    Rate of complications in accordance to Clavien-Dindo Classification, including anastomotic leakage or stenosis, ureteral lesion or obstruction, pelvic abscess, fistula, bladder or bowel perforation and urinary retention

    Time frame: 18 months

  5. Fertility treatment complications

    Rate of hospital admissions, bleeding, superinfection, worsening of pain or having ovarian hyperstimulation syndrome (OHSS)

    Time frame: 18 months

  6. Pain score

    Numeric Rating Scale (NRS) score from 0 to 10, where 10 implies the worst pain

    Time frame: Baseline, 9 and 18 months

  7. Quality of Life (QoL)

    Development in Endometriosis Health Profile (EHP-30+23), including section C (sexual function QoL questions) and section F (fertility QoL questions)

    Time frame: Baseline, 9 and 18 months

  8. Delayed bowel function

    Development in bowel function rated by Low Anterior Resection Syndrome (LARS) score

    Time frame: Baseline, 9 and 18 months

  9. Delayed bladder function

    Development in urinary tract function rated by International Consultation on Incontinence Questionnaire (ICIQ- FLUTS)

    Time frame: Baseline, 9 and 18 months

  10. Endometriosis hormonal and inflammatory status

    Concentrations of hormonal and inflammatory markers in blood samples

    Time frame: Baseline and 9-18 months

  11. Follicles, oocytes, fertilized oocytes, blastocysts, and frozen embryos

    Number of follicles as measured at last scan prior to oocyte pick-up (OPU), number of oocytes at OPU, fertilized oocytes, blastocysts and frozen embryos

    Time frame: 18 months

  12. Blastocyst morphology score

    Gardner scoring system, Steer grading system, Veecks criteria, or other scoring systems of blastocyst morphology

    Time frame: 18 months

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Study locations

3 sites
  • Aarhus University Hospital
    Aarhus N, Central Region 8200, Denmark
  • Horsens Regional Hospital
    Horsens, Central Region 8700, Denmark
  • The Endometriosis Center, Clinique Tivoli-Ducos
    Bordeaux, France
08

References and documents

Publications

  • Raos M, Roman H, Seyer-Hansen M, Kesmodel US, Knudsen UB. EFFORT study: Comparing impact of operation and assisted reproductive technologies on fertility for women with deep infiltrating endometriosis - study protocol for a multicentre randomised trial. BMJ Open. 2022 Apr 11;12(4):e052877. doi: 10.1136/bmjopen-2021-052877. PubMed 35410921 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04610710
Lead sponsor
Horsens Hospital
Collaborators
Aarhus University Hospital, Clinique Tivoli Ducos
Responsible party
Ulla Breth Knudsen (Professor, Horsens Hospital) — Principal investigator
First posted
Oct 30, 2020
Start date
Nov 25, 2020
Primary completion
Mar 1, 2026
Completion
Mar 1, 2026
Last update
Mar 10, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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