پنجشنبه 6 اردیبهشت 1403
[Archive]
دوره 5، شماره 4 - ( 4-1386 )
جلد 5 شماره 4 صفحات 102-99 |
برگشت به فهرست نسخه ها
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Shahrokh Tehrani Nejad1 E, Naderi T, Irani S, Azimi Nekoo E. Frequency distribution of pregnancy occurrence in infertile women after diagnostic-surgical hysteroscopy. IJRM 2007; 5 (4) :99-102
URL: http://ijrm.ir/article-1-80-fa.html
URL: http://ijrm.ir/article-1-80-fa.html
Frequency distribution of pregnancy occurrence in infertile women after diagnostic-surgical hysteroscopy. International Journal of Reproductive BioMedicine. 1386; 5 (4) :99-102
چکیده: (2365 مشاهده)
Background: Mullerian disorders are present in 5-25% of infertile women. Myoma, polyp and endometrial adhesions are among other involved factors in infertility.
Objective: The aim of this study was to determine the frequency distribution of pregnancy occurrence in infertile women after the diagnostic-surgical hysteroscopy on selected infertile cases including those with abnormal uterine.
Materials and Methods: One hundred and fifteen women with at least 12 months infertility who had abnormal uterine cavity and patients who had at least 4 unsuccessful ART cycles with no confirmed diagnosis of uterine cavity problem, underwent diagnostic hysteroscopy and if required hysteroscopic surgery. Follow up sonography and HSG performed 2-3 months later and all subjects were followed for pregnancy occurrence for 12 months.
Results: Mean age of subjects was 32.65 ± 6.2 years and mean of infertility duration was 8.33 ± 5.25 years. Based on the sonography and HSG performed prior to the hysteroscopy, respectively 69.6% and 41.8% of the subjects had abnormality. In 65.2% of the cases, hysteroscopy showed septum, myoma, endometrial adhesion and irregularity and all of them underwent hysteroscopic operation. Among the operated cases, in 27 cases pregnancy occurred during the first 6 postoperative months and in 2 cases during the second 6 postoperative months of whom one case was EP. Conclusion: There was no significant difference in the rate of pregnancy occurrence between those who had abnormal hysteroscopy and those who were normal (p= 0.63). This can show the variation of infertility causes and the fact that infertility is not just due to uterine problems. Therefore, the repetition of therapeutic measures and longer follow up of infertile cases are necessary.
Objective: The aim of this study was to determine the frequency distribution of pregnancy occurrence in infertile women after the diagnostic-surgical hysteroscopy on selected infertile cases including those with abnormal uterine.
Materials and Methods: One hundred and fifteen women with at least 12 months infertility who had abnormal uterine cavity and patients who had at least 4 unsuccessful ART cycles with no confirmed diagnosis of uterine cavity problem, underwent diagnostic hysteroscopy and if required hysteroscopic surgery. Follow up sonography and HSG performed 2-3 months later and all subjects were followed for pregnancy occurrence for 12 months.
Results: Mean age of subjects was 32.65 ± 6.2 years and mean of infertility duration was 8.33 ± 5.25 years. Based on the sonography and HSG performed prior to the hysteroscopy, respectively 69.6% and 41.8% of the subjects had abnormality. In 65.2% of the cases, hysteroscopy showed septum, myoma, endometrial adhesion and irregularity and all of them underwent hysteroscopic operation. Among the operated cases, in 27 cases pregnancy occurred during the first 6 postoperative months and in 2 cases during the second 6 postoperative months of whom one case was EP. Conclusion: There was no significant difference in the rate of pregnancy occurrence between those who had abnormal hysteroscopy and those who were normal (p= 0.63). This can show the variation of infertility causes and the fact that infertility is not just due to uterine problems. Therefore, the repetition of therapeutic measures and longer follow up of infertile cases are necessary.
نوع مطالعه: Original Article |
فهرست منابع
1. Grimbizis G, Camus M, Clasen K, Tournaye H, De Munck L, Devroey P Hysteroscopic septum resection in patients with recurrent abortions or infertility, Hum Reprod 1998; 13:1188-1193. [DOI:10.1093/humrep/13.5.1188]
2. Yao MWM, Schust DJ. Infertility, In: Berek JS. Novak's Gynecology.13th ed. Willams & wilkins;2002. p:973- 1046.
3. Shokeir TA, Shalan HM, EL-Shafei MM. Significance of endometrial polyps detected hysteroscopically in eumenorrheic infertile women. Clin Exp Obstet. Gynecol.2003;30: 23-25. [DOI:10.1111/j.1447-0756.2003.00163.x]
4. Spiewankiewicz B, Stelmachow J, Sawickiw, Cendrowski K, Wypych P, Swiderska K. The effectiveness of hysteroscopic polypectomy in cases of female infertility. Abodm imaging. 1994 ;19:477-480.
5. Keltz M, Varasteh N, Levin B, Neuwirth R. Pregnancy rates following hysteroscopic polypectomy, myomectomy, and a normal cavity in infertile patients. Prim Care Update Ob Gyns. 1998;5:168. [DOI:10.1016/S1068-607X(98)00068-7]
6. Sanders B. Uterine factors and infertility. J Reprod Med 2006; 51: 169-176.
7. Perez-medina T, Bajo-Arenas J, Salazar F, Redondo T, Sanfrutos L, Alvarez P, Engles V. Endometrial polyps and their implication in the pregnancy rate of patients undergoing IUI. Human Reprod 2005; 20: 1632-1635. [DOI:10.1093/humrep/deh822]
8. Shokeir TA, Shalan HM, EI-Shafei-MM. Significance of endometrial polyps detected hysteroscopically in eumenorrheic infertile women. J Obstet Gynaecol. Res 2004; 30: 84-89. [DOI:10.1111/j.1447-0756.2003.00163.x]
9. Spiewankiewicz B, Stelmachow J, Sawicki W, Cendrowski K, Wypych P, Swiderska K. The effectiveness of hysteroscopic polypectomy in cases of female infertility. Clin Exp Obstet Gynecol 2003; 30: 23-25.
10. Lass A, Williams G, Abusheikha N, Brinsden P. The effect of endometrial polyps on outcomes of invitro fertilization cycle. J Assist Reprod Genet 1999; 16: 410-415. [DOI:10.1023/A:1020513423948]
11. Varasteh NN, Neuwirth RS, Levin B, Keltz MD. Pregnancy rates after hysteroscopic polypectomy and myomectomy in infertile women. Obstet Gynecol 1999; 94: 168-171. [DOI:10.1097/00006250-199908000-00002]
12. Lee A, Ying YK, Novy MJ. Hysteroscopy hysterosalpingography and tubal ostialpolyps in infertility patients. J Reprod Med 1997; 42: 337-341.
13. Bacsko G, Major T. Hysteroscopic diagnosis and treatment of endometrial polyps. Orv Hetil1999; 12: 2041-2045.
14. Coldenberg M, Sivan E, Sharabi Z, Binder D, Rabinovici J, Sediman DS. Outcome of hysteroscopic resection of submucous myomas for infertility. Fertil Steril 1995 ;64: 714-716. [DOI:10.1016/S0015-0282(16)57844-3]
15. Bernard G, Darai E, Poncelet C, Benifla JL, Madelenat P. Fertility after hysteroscopic myomectomy: effect of intramural myomas associated. Eur J Obstet Gynecol Reprod Biol. 2000 Jan;88:85-90. [DOI:10.1016/S0301-2115(99)00123-2]
16. Fernandez H, Sefrioui O, Virelizier C, Gervaise A, Gomel V, Frydman R. Hysteroscopic resection of submucosal myomas in patients with infertility, Human reproduction 2001; 16:1489-1492. [DOI:10.1093/humrep/16.7.1489]
17. Szymanski R, Kaminski P, Marianowski L. Electroresectors copy in submucous fibroids, intrauterine adhesions and uterine malformation treatment. Ginekol Pol 2000 ; 71: 1031-1035.
18. Speroff L, Fritz A. Clinical Gynecologic Endocrinology and infertility. 17th ed. Philadelphia: Lippincott Williams & Wilkins. 2005.pp:1013-1056.
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
