Ovulatory disorders and inflammatory adnexal damage: a neglected cause of the failure of fertility microsurgery
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This study found that ovulation disorders, specifically unruptured follicles, were present in 13 of 25 infertile patients with pelvic inflammatory disease sequelae, unaffected by microsurgery.
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Abstract
Failure of reconstructive tubal surgery is usually attributed to pre-existing endosalpingeal damage, recurrent adhesion formation or progressive inflammatory disease. We studied ovarian follicle development and ovulation by ultrasound in 25 infertile patients with laparoscopically proven sequelae of pelvic inflammatory disease. Failure of the follicle to rupture was seen in 13, although luteinization occurred. The mean mid-luteal progesterone concentration in cycles with an unruptured follicle was significantly lower than the concentrations both in ovulatory cycles in the same patients and in a comparison group of 45 normally ovulating women (P less than 0.01). Microsurgical adhesiolysis did not seem to influence the occurrence of the ovulation disorder.
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Cited by (4)
- Office hydrolaparoscopy for the diagnosis of endometriosis and tubal infertility 1999
- Prediction of Pregnancy in Infertile Women with Endometriosis 2002
- Endometriosis, Endometrioma, and the Problem of Adhesions 2000
- Experience of using anti-adhesive barriers in colorectal resections in connection with deep infiltrative endometriosis 2025
References (2)
- W1593214401 via openalex
- W2413110029 via openalex
Cited by (4)
- Experience of using anti-adhesive barriers in colorectal resections in connection with deep infiltrative endometriosis 2025
- Prediction of Pregnancy in Infertile Women with Endometriosis 2002
- Endometriosis, Endometrioma, and the Problem of Adhesions 2000
- Office hydrolaparoscopy for the diagnosis of endometriosis and tubal infertility 1999
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