Thursday 13 September 2007
Laparoscopy recommended in women with unexplained infertily
Source:
J Obsetrics and Gynaecology Res 2007; 33: 665-670
Women with unexplained infertility may benefit from laparoscopic evaluation before assisted reproductive technology.
Medwire News: Researchers recommend that women with unexplained infertility undergo laparoscopic evaluation before receiving assisted reproductive technology.
Koji Nakagawa (National Center for Child Health and Development, Tokyo, Japan) and colleagues found that laparoscopy highlighted abnormal findings, such as minimal or mild endometriosis, pelvic adhesions, and tubal disease in 87.2 percent of 47 women with unexplained infertility.
After laparoscopic surgery, the women received infertility treatment and 23 pregnancies were achieved, at a pregnancy rate of 48.9 percent.
The women were then divided into five groups based on their age. Among those aged 26-30 years, the pregnancy rate was 75.0 percent, which was significantly higher and almost double the rate of women receiving ART treatment. For all age groups, pregnancy rates were higher following laparoscopic surgery, compared with ART.
A recently published report showed that approximately 68 percent of patients who failed to get pregnant after four ovulatory cycles with clomiphene citrate had pelvic lesions, the researchers comment. In the current study, 94.7 percent of patients had pelvic lesions detected via laparoscopic evaluation.
The researchers conclude: "Laparoscopic surgery should be strongly considered for women with unexplained infertility prior to ART treatment."
Posted: 11 September 2007
(c) 2007 Current Medicine Group Ltd, a part of Springer Science+Business Media
http://www.orgyn.com/en/news/2007/We...39338627974537
Laparoscopy recommended in women with unexplained infertily 
