The prevalence of fimbrial pathology in patients with early stages of endometriosis

Abuzeid MI, Mostafa I Abuzeid, Mohamed F Mitwally, Mitwally MF, M.F. Mitwally, Abeer I Ahmed, Abeer Ahmed, Ahmed AI, Elizabeth Formentini, Formentini E, M. Ashraf, Ashraf M, Mohammad Ashraf, Omar M Abuzeid, Abuzeid OM, Omar Abuzeid, Michael P Diamond
Journal of Minimally Invasive Gynecology · 2007 · vol. 14(1) , pp. 49–53 · doi:10.1016/j.jmig.2006.07.003 · PMID:17218229 · W2097409908
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Infertile women with early-stage endometriosis had a significantly higher prevalence of fimbrial pathology (50.2%) compared to infertile women without endometriosis (17.8%).

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Abstract

Study objectiveThe presence of fimbrial pathology in advanced endometriosis is clearly understood. However, little is known about the prevalence of fimbrial pathology in early stages of endometriosis. The purpose of this study is to determine the prevalence of fimbrial pathology in patients with infertility with early stages of endometriosis.DesignHistorical cohort study (Canadian Task Force classification II/III).SettingTertiary referral center.PatientsThe study group (Group 1) consisted of 315 infertile women who were found to have stage I or stage II endometriosis, and the control group (Group 2) consisted of 152 infertile women without endometriosis (Group 2).InterventionLaparoscopic evaluation for the presence and type of fimbrial pathology.Measurements and main resultsThe prevalence of fimbrial pathology was significantly higher in infertile patients with early stages of endometriosis (50.2%) compared with infertile patients with no endometriosis (17.8%, p <.0001).ConclusionThese preliminary data suggest the presence of fimbrial pathology in many patients with early stages of endometriosis. Such pathology may act as a mechanical factor interfering with the ovum pick-up mechanism.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Fallopian Tubes Infertility, Female Cohort Studies Endometriosis Endometriosis Fallopian Tubes Female Humans Hysterosalpingography Infertility, Female Infertility, Female Laparoscopy Retrospective Studies

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