Pregnancy after Primary Infertility Investigation

Tubal Ectopic Pregnancy

“…This could result in decreased peristalsis, ciliary propulsion, or secretion which concerns MEDICAL JOURTNA the capacitation of the sperm (Lowi, 1960), or might delay onward passage of the fertilized ovum. The relative infertility of the women in Jamaica who have a tubal pregnancy is consistent with the finding in Britain that the incidence of ectopic pregnancy in women who had been investigated for infertility was eight times the incidence among other women in the same community (Wyper, 1962).…”

The early diagnosis of ectopic pregnancy

“…There is a distinctive group of women who have very poor fertility characteristics, and these women have a high risk of an ectopic pregnancy if they become pregnant at all. It has been estimated that patients having infertility investigations have an eightfold increase in the risk of ectopic pregnancy (Wyper, 1962).…”

Association of Oligomenorrhoea, Hirsuties, and Infertility

“…Much higher figures are given for groups of infertile patients (Rubenstein, 1939 ;Rubin, 1945 ;Westman, 1950Grant, 1951Bender, 1952;Southam and Buxton, 1957;Sharman, 1958 ;Wyper, 1962), though Swyer (1959) has questioned the interpretation of these findings. No less than 42.6% of pregnancies in our infertile groups ended in abortion.…”

“…Some idea of this can be derived, however, from the findings of the Royal Commission on Population (1950) and of the 1951 Census, and from data concerning patients attending antenatal clinics (reviewed by Bender, 1952) and those attending infertility clinics (Westman, 1950 ;Grant, 1951;Bender, 1952;Barns et al, 1953 ;Southam and Buxton, 1957;Sharman, 1958 ;Wilson et al, 1959;Wyper, 1962). The material is somewhat heterogeneous and does not permit of precise conclusions.…”