WOMENS-HEALTH Messages for April, 2008: INFERTILITY: Diagnostic hysteroscopy be a routine procedure infertile women?

INFERTILITY: Diagnostic hysteroscopy be a routine procedure infertile women?

From: Hope Waltman (anonymous@obgyn.net)
Sun, 27 Apr 2008 06:50:55 -0500 (CDT)

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Bosn J Basic Med Sci. 2008 Feb;8(1):44-7.Links

Should diagnostic hysteroscopy be a routine procedure during diagnostic laparoscopy in infertile women? Godinjak Z, Idrizbegoviæ E. Obstetrics and Gynaecology Clinic, University of Sarajevo Clinics Centre, Bolnicka 10, 71000 Sarajevo, Bosnia and Herzegovina.

"The aim of this study was to clarify the role of simultaneous combined diagnostic approach using laparoscopy and hysteroscopy in the evaluation of female infertility. In a retrospective study, 360 infertile women underwent complete fertility evaluation. All the patients were examined by simultaneous combined laparoscopy and hysteroscopy as a part of the routine infertility evaluation.

Laparoscopy and hysteroscopy were successful in 360 patients. Bilateral tubes were blocked in 18 (5%) and unilateral tubal occlusion were in 30 (8,33%) of patients. Pelvic adhesions were revealed in 40 (11,11%), and myomas in 42 (11,65%) out of that 31 (8,6%) were revealed by laparoscopy and 11 (3,05%) by hysteroscopy. Endometrial polyps were revealed in 26 (7,22%) and Syndrome Asherman in 3(0,83%) of patients. Uterine anomaly was found in 19 (5,27%) of cases and out of that septate uterus in 7 (37,15%), bicornuate uterus in 5 (26,31%), arcuate uterus in 4 (21,26%) and uterus unicornu cum cornu rudimentario in 3 (15,27%) of uterine anomalies. Endometriosis was found in 51 (14,16%), dermoid cysts in 8 (2,22%) and in 16 (4,44%) functional cysts of patients. Also, Fitz-Hugh-Curtis syndrome was revealed in 23 (6,11%) of our patients. Laparoscopy and hysteroscopy play very important role as diagnostic tools in the infertility women. Combined diagnostic simultaneous laparoscopy and hysteroscopy should be performed in all infertile patients before the treatment." http://www.ncbi.nlm.nih.gov/pubmed/18318671?dopt=AbstractPlus

Regards, Hope Waltman, Fibroid Forum and WH Forum Moderator

http://www.hopeforfibroids.org http://www.doctorsinfoweb.com/doctors.htm UTERINE FIBROIDS INFO: http://www.obgyn.net/fibroid-resource-center/

Next message: Hope Waltman: "ARTICLE: Multipotential Stem Cells Could Be Provided By Menstrual Blood"
Previous message: Dr. Herbert A. Goldfarb: "Re: ENDOMETRIOSIS: Laparoscopy for Endometriosis"

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