An Assessment of Laparoscopy as the Primary Investigation in the Subfertile Female

Templeton, Allan; Kerr, M. G.

doi:10.1097/00006254-197805000-00018

Cited by 5 publications

(5 citation statements)

References 5 publications

(5 reference statements)

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“…In the present study, the incidence of primary infertility was 70% and that of secondary infertility was 30% which correlates with the studies conducted by Templeton and Kerr primary infertility (74.9%) and secondary infertility (25.1%), Sharma R et al-primary infertility (67.2%) and secondary infertility (32.8%), Nakade KD et al -primary infertility (69.4%) and secondary infertility (30.6%). [2][3][4] As in our study, in the study conducted by Sharma R et al, the pregnancy terminated immediately preceding the period of infertility with FTND in 32.4%, with previous preterm delivery in 8.1%, intrauterine foetal death in 8.1%. 3 Majority of the patients of this particular study -51.3% also gave history of previous abortions.…”

Section: Discussionmentioning

confidence: 54%

Infertility analysis by hysterolaparoscopy

Daddenavar

2016

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 54%

Infertility analysis by hysterolaparoscopy

Daddenavar

2016

Int J Reprod Contracept Obstet Gynecol

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“…In all patients a trans-cervical flushing of the uterus with sterile medium (Medium 199 with Earle's salts and Hepes buffer: Flow Labs, Irvine, U.K.) was attempted using a 3-way balloon catheter (modified from Maathuis & Aitken, 1978) before starting the diagnostic laparoscopy and its associated test of tubai patency using blue dye injected into the uterine cavity under low pressure. In addition to the routine procedures of a diagnostic laparoscopy for the assessment of the pelvic organs (Templeton & Kerr, 1977), the fluid lying in the cul-de-sac or pouch of Douglas was aspirated using a blunt-ended needle (2 mm diam.). The fimbriated end of each Fallopian tube was then separately rinsed with 10 ml of the same medium and the rinsings aspirated from the pouch of Douglas.…”

Section: Sperm Recoverymentioning

confidence: 99%

Sperm transport in the human female reproductive tract in relation to semen analysis characteristics and time of ovulation

Templeton¹

1982

Reproduction

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Laparoscopic sperm recovery from the pouch of Douglas and tubal fimbriae was performed in 64 infertile couples. Spermatozoa were recovered from 16/35 couples investigated after AIH, and from 13/29 couples post coitum. The method of insemination had no effect on the result, which was positive in 45.3% of all couples, although AIH did result in significantly larger numbers of peritoneal spermatozoa. The number of peritoneal spermatozoa did not show any direct correlation with the number inseminated, but there were reductions along the tract of 5.83 (+/- 1.4 s.d.) orders of magnitude for total sperm count, and 5.52 (+/- 1.21 s.d.) for the number of motile spermatozoa. Only sperm motility had a significant influence on the success of sperm transport; spermatozoa were recovered from patients with sperm densities as low as 3.0 and 3.5 x 10(6)/ml, but with 56 and 44% motile spermatozoa. No influence of cycle day within the range +/- 4 days of ovulation on sperm transport was found. In 45 couples, routine semen analyses were apparently completely normal, but the incidence of sperm recovery was still only 49% (22/45), suggesting that a failure of sperm transport may have been a significant causative factor in their infertility.

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“…In the present study, incidence of primary infertility was 60% and that of secondary infertility was 40% which was comparable to other studies. 2,3 The majority of women of primary infertility belonged to age group of 25-29 years (36.7%) and 30-34 years while majority of those with secondary infertility belonged to age group of 30-34 years (45%) as compared to study conducted by Sharma et al, in which majority of women with primary infertility were in age group of 21-25 years (62.2%) while those with secondary were in age group of 26-30 years (47.2%). 3 Previous abortion was reported in majority of cases (80%) which is comparable with studies by Sharma et al 3 Uterine factors responsible for infertility were detected in 38% of cases as compared to studies conducted by Chakraborty et al 4 The high incidence of uterine factors can be attributed to current increased use of hysteroscopy in diagnosis of uterine anomalies and there by their correction as well.…”

Section: Resultsmentioning

confidence: 99%

A prospective study to evaluate the role of hysterolaparoscopy in infertility

Kale¹,

Noronha²

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Infertility is one of the most important and underappreciated reproductive health problems in developing countries. The aim of the present study was to evaluate the role of hysterolaparoscopy in infertility.Methods: It was observational prospective study. In this study, 50 patients in the age group of 20-40 years who are anxious to conceive formed the study group. All women were subjected to a detailed history taking followed by clinical examination.Results: Out of 50 cases studied, 30 (60%) were of primary infertility while, 20 (40%) were of secondary infertility. Laparoscopic findings were as follows, 28% had polycystic ovaries, 20% had endometriosis, 18% had tubal factors, 18% had adhesions, and 8% had fibroids while 4% had PID. Hysteroscopic findings were uterine septum in 16%, T shaped cavity in 14%, shaggy-hyperplastic endometrium in 10% while adhesions and polyps in 8% and 4% respectively. 16 women (32%) conceived after the procedure during the study period.Conclusions: It is concluded that while investigating the causes of female infertility combined simultaneous diagnostic laparoscopy and hysteroscopy with operative interventions wherever indicated should be performed in all infertile patients before treatment, especially in women with age more than 30 years.

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An Assessment of Laparoscopy as the Primary Investigation in the Subfertile Female

Cited by 5 publications

References 5 publications

Infertility analysis by hysterolaparoscopy

Infertility analysis by hysterolaparoscopy

Sperm transport in the human female reproductive tract in relation to semen analysis characteristics and time of ovulation

A prospective study to evaluate the role of hysterolaparoscopy in infertility

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