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A Large Study About Reproductive Factors That Predict Hysterosalpingography-Identified Tubal Pathology: An Insight into the Necessity of Preconception Screening.
J Clin Med
December 2024
Department of Reproductive Medicine, Kameda IVF Clinic Makuhari, Chiba 261-8501, Japan.
: Hysterosalpingography (HSG) is pivotal in delineating tubal pathology, but is associated with pain and exposure to ionizing radiation. This study investigated which reproductive factors predict HSG-identified tubal pathology. : From May 2016 to August 2023, 3322 infertile females with HSG (mean age 33.
View Article and Find Full Text PDFThe outcome of embryo transfer after three different procedures for laparoscopic correction of hydrosalpinx.
Int J Gynaecol Obstet
September 2024
The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Article Synopsis
- The study aimed to compare the outcomes of three surgical methods for treating hydrosalpinx: simple terminal salpingostomy, bilateral proximal tubal ligation with terminal salpingostomy, and bilateral salpingectomy.
- Researchers conducted a retrospective analysis of 292 patients who underwent laparoscopic surgery followed by embryo transfers, finding no significant differences in age, BMI, or surgical metrics across the three groups, except for specific age-related outcomes.
- The conclusion indicated that the type of surgical approach used does not significantly impact pregnancy rates after embryo transfer within the same age group, suggesting that factors other than the surgical method may be more influential.
Colo-salpingeal fistula: A rare case report.
Radiol Case Rep
December 2024
Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Article Synopsis
- Salpingo-enteric fistula is a rare condition that forms an abnormal connection between the fallopian tube and the intestine, potentially leading to infertility.
- A case involving a 40-year-old asymptomatic woman revealed bilateral hydrosalpinx during hysterosalpingography, with contrast leaking into the descending colon, indicating a possible fistula.
- This type of fistula may be an unnoticed cause of infertility and should be considered only after excluding other infertility factors.
Adnexal Torsion During Pregnancy in a Surrogate Patient Post-tubal Ligation: A Case Report.
Cureus
August 2024
Department of Obstetrics and Gynecology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, USA.
Adnexal torsion during pregnancy is rare and is complicated by ambiguous symptoms and often nonspecific imaging findings. Differential diagnoses of torsion include a ruptured ovarian cyst, tubo-ovarian abscess, and appendicitis. A low threshold for the recommended surgical laparoscopy is necessary to avoid delayed diagnosis and fetal or maternal complications.
View Article and Find Full Text PDFIncidence and Causes of Tubal Occlusion in Infertility: A Retrospective Cohort Study.
J Clin Med
July 2024
Clinical Division of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, 1090 Vienna, Austria.
: Fallopian tubal pathology is a primary risk factor for female infertility, with simple proximal disease and proximal disease extending more distally being more common than pure distal occlusion. Proximal tubal occlusion is often attributed to ascending events, such as pelvic inflammatory disease. Conversely, while distal occlusion can also be attributable to ascending pelvic inflammatory disease, it can also have a pelvic origin, such as through endometriosis and ruptured appendicitis.
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