Usefulness and prognostic value of transvaginal hydrolaparoscopy in infertile women

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Transvaginal hydrolaparoscopy was evaluated for its diagnostic utility and prognostic implications in infertile women, assessing its effectiveness in identifying pelvic pathologies.

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Abstract

ObjectiveTo evaluate the usefulness and prognostic value of transvaginal hydrolaparoscopy (THL) in infertile women.DesignRetrospective study.SettingJichi Medical School Hospital, Tochigi, Japan.Patient(s)Thirty-six patients who were followed up for 6 months or longer after THL was performed.Intervention(s)Transvaginal hydrolaparoscopy findings in comparison with hysterosalpingography (HSG).Main outcome measuresTransvaginal hydrolaparoscopy findings, HSG findings, treatment strategy, and prognosis.Result(s)Twenty of 36 patients (55.5%) became pregnant, including 7 by coitus, 7 by artificial insemination with the husband's semen, and 6 by assisted reproductive technology (ART). In 11 of these pregnant patients, information obtained during THL differed from findings on HSG.Conclusion(s)Transvaginal hydrolaparoscopy is useful in selecting a future treatment strategy.

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Condition tags

endometriosis

MeSH descriptors

Infertility, Female Infertility, Female Laparoscopy Coitus Endometriosis Endometriosis Endometriosis Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Female Humans Infertility, Female Infertility, Female Insemination, Artificial, Homologous Pregnancy Prognosis Reproductive Techniques, Assisted Retrospective Studies

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