Peter G. Wardle

OBJECTIVE: This study explores the predictive value for live birth following tubal reconstructive surgery of the "Hull & Rutherford" (H&R) classification system. DESIGN: Retrospective cohort study. SETTING: Tertiary infertility referral ser…

PROBLEM: Reduced fertilization rates in women with minor endometriosis may be the result of direct effects on the ovary or to primary dysfunction within the hypothalamic-pituitary-ovarian axis. This controlled study was designed to examine …

PROBLEM: To measure and compare concentrations of inhibin A, inhibin B, activin A and oestradiol in the follicular fluid of women with endometriosis, tubal damage and unexplained infertility with oocyte quality and fertilising capacity. Als…

ObjectiveTo determine the diurnal variation in the onset of the preovulatory LH surge in women.DesignProspective open cohort study.SettingUniversity hospital research program.Patient(s)Thirty-five women with infertility resulting from tubal…

PurposeThe impact of endometriosis and unexplained infertility on follicular function and fertilization of oocytes in cycles totally unperturbed by exogenous gonadotrophins, when compared with controls with tubal damage, were examined.Metho…

Evidence of pituitary-ovarian dysfunction in unexplained and endometriosis-associated infertility has been reported previously. Hormone-suppressive therapy is often used in an attempt to improve fertility, although benefits have not been pr…

To examine the cause of altered follicular fluid steroid levels and lower in vitro fertilization rate observed in infertile women with minor endometriosis, we have compared the production of estradiol (aromatase activity) and progesterone o…

Harlow, C. R.; Cahill, D. J.; Maile, L. A.; Talbot, W. M.; Mears, J.; Wardle, P. G.; Hull, M. G. R. Author Information

SummaryFollowing laparoscopic diagnosis and staging (American Fertility Society) of endometriosis, 269 patients, recruited from 10 hospitals, were allocated at random to groups receiving either gestrinone (2—5 mg) twice weekly (n = 132) or …

This study examines circulating and follicular hormone concentrations and fertilization of oocytes in cycles totally unperturbed by exogenous gonadotrophins in 10 women (25 cycles) with untreated minimal-mild endometriosis and nine women (2…

In a large, double-blind, multicentre study, 269 patients with confirmed endometriosis were randomly allocated to receive either danazol (200 mg twice daily; n = 137) or gestrinone (2.5 mg twice weekly; n = 132) for 6 months. The two groups…

This article focuses on assisted conception, the effects of this on the resulting pregnancies and how these effects may influence midwifery and obstetric care.

Infertility requiring specialist help affects 1 in 6 couples at some time in their lives. This article examines the various causes of infertlity and concludes that assisted conception offers the most effective treatment for about 25% of inf…

Recent comparative studies and developments in our understanding of the pathogenesis and pathophysiology of endometriosis have led to increasing doubts about whether it should always be considered a disease. Widespread use of laparoscopy fo…

In-vitro fertilisation (IVF) was carried out once for each of 104 couples who had a single cause of infertility. The group with tubal damage was used as the reference for normal fertilising capacity of both oocytes and sperms: the IVF rates…