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Re: Infertility workup From: Steve & Eryl Raymond (eryl@intekom.co.za) Thu Aug 14 15:48:12 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Carol Stout: "Re: FRI: George Carlin" Previous message: Steve & Eryl Raymond: "Re: query" Maybe in reply to: Eberhard Lisse: "Infertility workup" Next in thread: Joanne Bulley, MD: "Re: Significant Others in exam room" Between 1993 and 1997 I collected data on all the infertility patients presenting to this hospital in KwaZulu Natal (all Zulus). There were 462. Two hundred and four never came back for the second visit because they didn't want to have an HIV test! Only those partners who had no children were sent for semenalysis - there were 40. Sixteen refused to be tested, and of the 24 tested, 16 had an abnormal result. 41% of the women were anovulatory, but 84% of those who were ovulating had an abnormal HSG. I believe that we cannot dispense with HSG as, in contrast to laparoscopy, this shows the insides of the tubes, whereas the laparoscopic dye test shows the outsides. Of the 85 cases of tubal blockage only 23 were suitable for tubal surgery. Unfortunately, the majority of those who became pregnant after tubal surgery never came to tell me about it, so I cannot report the percentage success rate - only finding out by accident if someone doing the A/N or delivery happened to notice the history and tell me. Steve Eberhard Lisse wrote: >I am so fortunate, I can do it by the book. One year of regular >unprotected intercourse, weeds already 30% out. RPR/HIV one both a few >more. > >Semenanalysis is poor in roughly 50% of the rest. > >Then come the Progesteron levels and finally the laparoscopy/dye test. > >I haven't done an HSG for ages. > >el > >"Braun, R. Daniel" writes: > >>I just tell them that nothing gets done until I have the report on the >>S.A. >> >>Dan >> -- S.H. Raymond FRCOG Principal Specialist Department of Obstetrics & Gynaecology Empangeni Hospital Private Bag X20005 Empangeni SOUTH AFRICA 3880 Phone: (+27)-35-9028560 Fax: (+27)-35-7922596 "The greatest derangement of the mind is to believe in something because one wishes it to be so". René Dubos 1876. Next message: Carol Stout: "Re: FRI: George Carlin" Previous message: Steve & Eryl Raymond: "Re: query" Maybe in reply to: Eberhard Lisse: "Infertility workup" Next in thread: Joanne Bulley, MD: "Re: Significant Others in exam room"

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