Laparoscopy Versus Culdoscopy in the Investigation of Infertility

Bengt Fredricsson, B Fredricsson
Acta obstetricia et gynecologica Scandinavica · 1974 · vol. 53(2) , pp. 125–128 · doi:10.3109/00016347409156901 · PMID:4274570 · W2163939692
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Abstract

Abstract. Some advantages and disadvantages of laparo‐scopy and culdoscopy are illustrated in a study on 174 infertile women divided into three groups. The three groups were similar in relation to age, number of previous pregnancies and duration of infertility. The first group comprises 52 women who underwent culdoscopy, the second 49 women who underwent laparoscopy. Unexpectedly, more cases of endometriosis were found in the culdoscopy group, whereas adhesions were more frequent in the laparoscopy group. This was interpreted to be due to unawareness of the fact that endometriosis is more often situated in the lower pelvis whereas adhesions may be found also in the upper pelvis. The third group of cases comprises 73 laparoscopies undertaken after reaching the above conclusions. Consequently the ovaries were examined with more care than before and endometriosis was diagnosed more frequently. These findings should remind the laparoscopist that endometriosis is more often present in the underside of the ovary.

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Condition tags

endometriosisinfertility

MeSH descriptors

Culdoscopy Infertility, Female Laparoscopy Adult Endometriosis Endometriosis Endometriosis Fallopian Tubes Female Humans Infertility, Female Infertility, Female Methods Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Pelvic Neoplasms Pelvic Neoplasms Pelvic Neoplasms Tissue Adhesions

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