Jedrzejczak Piotr, Serdyńska Monika, Brazert Maciej, Pelesz Marek, Pawelczyk Leszek
Klinika Niepłodności i Endokrynologii Rozrodu, Katedra Ginekologii i Poloznictwa, Akademia Medyczna im K Marcinkowskiego w Poznaniu.
Ginekol Pol. 2006 Aug;77(8):582-8.
To assess the diagnostic benefit of laparoscopy in infertile women thought to be at low risk for altered pelvic anatomy.
Retrospective chart review.
127 infertile patients who underwent laparoscopic evaluation of the pelvis failing to conceive after intrauterine inseminations (IUI) with normal hysterosalpingography (HSG).
Diagnostic and/or therapeutic laparoscopy.
Presence of pelvic pathology and predictors of pelvic disease.
Although the hysterosalpingograms were read as normal in all women, endometriosis stage I-II was found in 64 (50,4%) patients, stage III and stage IV in 4 (3,1%). Adhaesions were diagnosed laparoscopically in 22 (17%) patients and distal tubal disease in 26 (20%). All of this abnormalities were directly treated by laparoscopic intervention. The time between HSG and laparoscopy was positively correlated with appearance of distal tubal disease and pelvic adhaesions.
Laparoscopic findings could lead to a change of treatment decisions in high number of infertile patients with normal hysterosalpingography.