Tubal patency in patients for whom artificial insemination with donor semen (A.I.D.) is planned

Rose Anorlu, D. Pickrell And, J. R. Newton
In: Journal of Obstetrics and Gynaecology · 1989 · vol. 9(3) , pp. 243–247 · doi:10.3109/01443618909151052 · W2088583588
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This retrospective study of 236 patients found that tubal assessment before donor insemination is unnecessary for women with a normal history, as most already have patent tubes and conception rates are similar regardless of assessment.

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Abstract

SummarySummaryThe value of tubal assessment before artificial insrmination with donor Semen (A.I.D.) treatment in patients with a normal history was studied retrospectively in 236 patients who had A.I.D. Two hundred and thirty had a normal history and six had a positive history (five appendicectomics and one gonococcal infection). All had tubal assessment by laparoscopy and hydrotubation before treatment. Of these, 221 (93.6 per cent) had bilateral tubal patency and 6.4 per cent had unilateral tubal patency. Pelvic or peritubal adhesions with patent tubes were demonstrated in six (2.6 per cent) of the 236 and endometriosis was found in a further nine (3.8 per cent). The adhesions and endometnosis found were of mild degree in the majority of casesNormal pelvic findings were found in all six who had a positive history and had laparoscopy before treatment. Three of five patients who had laparoscopy after failing to conceive with six cycles of treatment were found to have tubal or peritubal diseaseThe overall conception rate was 47.5 per cent. Tuba1 assessment before A.I.D. does not appear to be necessary in women with a normal history.

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endometriosis

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