Combined screening laparoscopy and timed follicle aspiration for human in vitro fertilization

In Vitro Fertilization: State of the Art

“…17,27 Nevertheless, in our program, only 4 out of 123 women were found to have inaccessible ovaries due to adhesions. 21 Therefore, we do not feel that it is justifiable to perform a screening laparoscopy, and in this we are in agreement with Wentz and colleagues 28 and Kerin and colleagues. 29 On the other hand, in patients undergoing repeat reconstructive surgery, we perform an ovarian suspension, preparing them for eventual IVF, by fixing the ovaries to the anterior lateral surface of the uterus, with very satisfactory results.…”

Reproductive Surgery vs Assisted Reproductive Technologies: Selecting the Correct Alternative

“…Tubal anastomosis (postinfectious) 43 Tubal anastomosis (uterotubal junction obstruction) [50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69] Tubal implantation (Reamer or cornual excision) Tubal implantation (posterior wall) Repeat tuboplasties [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] This is true if one only considers pregnancy rates when counseling patients. Invariably, numerous other factors must also be considered.…”

Combined Diagnostic Laparoscopy And Follicular Aspiration For Human In Vitro Fertilization

“…Indications for diagnostic laparoscopy were as follows: (1) unexplained infertility for 2 years or more; (2) unexplained secondary infertility for at least one year; or (3) secondary infertility with suspected occlusion of one or both tubes as revealed by HSG.…”

“…To the best of our knowledge there are only two published reports describing the combination of laparoscopy with IVF-ET. Wentz et al (1) combined screening laparoscopy with attempted oocyte recovery by scheduling the laparoscopy at the optimal time for follicle aspiration during a normal spontaneous cycle. Irsigler and van der Merwe (2) described a similar procedure in stimulated cycles.…”