scholarly journals Is Laparoscopy Still Necessary in the Management of Tubal Infertility?

2021 ◽  
Vol 11 (02) ◽  
pp. 63-69
Author(s):  
Abdoul Aziz Diouf ◽  
Moussa Diallo ◽  
Mame Diarra Ndiaye ◽  
Aminata Niass ◽  
Mamour Guèye ◽  
...  
Keyword(s):  
Tubal Infertility

Analysis of efficiency of application of media with hyaluronic acid in cryoprotocols

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (2) ◽  
pp. 26-29
Author(s):  
Natalia V. Protopopova ◽  
Elena B. Druzhinina ◽  
Kseniia V. Krylova ◽  
Iuliia V. Mylnikova ◽  
Jan A. Dvoryanov ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Pregnancy Rate ◽  
Embryo Transfer ◽  
Culture Medium ◽  
Genetic Diagnosis ◽  
World Health ◽  
Practical Significance ◽  
Pelvic Surgery ◽  
High Concentration ◽  
Tubal Infertility

According to the World Health Organization, about 2 million new couples experience infertility annually, and their number is growing. An effective way to overcome infertility is assisted reproductive technology (ART). Cryopreservation will rationally solve the issue of preservation and further use of embryos: to delay pregnancy for some time considering womans desire and to prevent ovarian hyperstimulation syndrome. Embryo freezing allows to reduce the rate of repeated ovarian stimulation and perform preimplantation genetic diagnosis. Over the past decades, various cryotransfer options have been proposed to increase ART treatment efficacy, including the use of a culture medium with a high concentration of hyaluronic acid, but there are conflicting data on the use of such a medium in ART programs. Aim. Evaluation of thawed embryo transfers efficacy using the hyaluronic acid-containing culture medium. To achieve the goal, the following tasks were set: to evaluate clinical and medical history data of patients with tubal infertility in cryoprotocols, to analyze the previous cycle of in vitro fertilization and embryological stage, to evaluate the effectiveness of the culture medium with a high content of hyaluronic acid. Materials and methods. A detailed description of the patient sample, inclusion and exclusion criteria, embryological stage, embryo grading, devitrified embryo transfer technique. The article includes 3 tables which present the groups general clinical characteristics, the embryological stage, the rate of pregnancy, depending on the cultivation day. Results. The authors established that in patients with a history of pelvic surgery and sexually transmitted infections, it is advisable to use the culture medium with a high content of hyaluronic acid to transfer the thawed embryo. It was shown that pregnancy rate is 1.5 times higher when transferring devitrified embryos on the 5th day of development with the use of hyaluronic acid-containing culture medium. The conclusion about the pregnancy rate in obese patients is not indisputable, which requires further study. The authors also provide practical recommendations on the use of the culture medium with hyaluronic acid in cryoprotocols. Conclusion. The study allows to optimize the devitrified embryo transfer in patients with tubal infertility using a culture medium with a high content of hyaluronan. This work has undoubted scientific and practical significance.

scholarly journals Appendectomy and women’s reproductive outcomes: a review of the literature

2021 ◽  
Author(s):  
Lucia Merlino ◽  
Alessandra Chiné ◽  
Giulia Carletti ◽  
Federica Del Prete ◽  
Massimo Codacci Pisanelli ◽  
...  
Keyword(s):  
Large Population ◽  
Fluid Secretion ◽  
Reproductive Period ◽  
Pelvic Surgery ◽  
Tubal Infertility ◽  
Peritoneal Adhesions ◽  
Relevant Risk Factor ◽  
Perforated Appendix ◽  
Embryo Transport ◽  
Possible Cause

Summary Background The most frequent abdominal surgery performed for benign disease in females of fertile age is appendectomy, which remains among the most common surgeries and is a possible cause of peritoneal adhesions. The fact that appendectomy can cause adhesions may lead one to think that this may be a relevant risk factor for infertility; however, there is no universal agreement regarding the association between appendectomy and fertility. The aim of this review is to evaluate weather appendectomy may have a relevant impact on female fertility. Methods The search was conducted in PubMed and there was no limitation set on the date of publication. All studies regarding populations of female patients who had undergone appendectomy for inflamed appendix, perforated appendix, or negative appendix between childhood and the end of the reproductive period were included. Results Some authors believe that pelvic surgery can cause adhesions which can potentially lead to tubal infertility by causing tubal obstruction or by altering motility of fimbriae, tubal fluid secretion, and embryo transport. On the other hand, the most recent evidence reported that removal of the appendix seems to be associated with an increased pregnancy rate in large population studies. Conclusion Despite the existence of contrasting opinions concerning fertility after appendectomy, the most recent evidence suggests that appendectomy may actually lead to improved fertility and decreased time to pregnancy. Appendectomy seems to be correlated with improved fertility and higher pregnancy rates.

Patients with stages III and IV endometriosis have a poorer outcome of in vitro fertilization–embryo transfer than patients with tubal infertility

1999 ◽  
Vol 72 (6) ◽  
pp. 1107-1109 ◽  
Author(s):  
Foad Azem ◽  
Joseph B Lessing ◽  
Eli Geva ◽  
Arik Shahar ◽  
Liat Lerner-Geva ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Embryo Transfer ◽  
Tubal Infertility ◽  
Vitro Fertilization

Etiological factors in tubal infertility

1982 ◽  
Vol 37 (3) ◽  
pp. 384-388 ◽  
Author(s):  
Trudy Trimbos-Kemper ◽  
Baptist Trimbos ◽  
Eylard van Hall
Keyword(s):  
Tubal Infertility ◽  
Etiological Factors

Tubal Infertility and the Intrauterine Device

1985 ◽  
Vol 312 (15) ◽  
pp. 941-947 ◽  
Author(s):  
Daniel W. Cramer ◽  
Isaac Schiff ◽  
Stephen C. Schoenbaum ◽  
Mark Gibson ◽  
Serge Belisle ◽  
...  
Keyword(s):  
Intrauterine Device ◽  
Tubal Infertility

scholarly journals How much of tubal infertility can we attribute to Chlamydia Trachomatis infection in Lagos, Nigeria?

2015 ◽  
Vol 81 (1) ◽  
pp. 132
Author(s):  
O. Olaleye ◽  
J.A. Olamijulo ◽  
O.O. Makinde ◽  
O.A. Makinde
Keyword(s):  
Chlamydia Trachomatis ◽  
Tubal Infertility ◽  
Chlamydia Trachomatis Infection
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