Vanspranghels R, Abergel A, Robin G, Jean Dit Gautier-Gaudenzi E, Giraudet G, Rubod C. Fertiloscopy in women with unexplained infertility: Long-term cumulative pregnancy rate.
J Gynecol Obstet Hum Reprod 2019;
49:101671. [PMID:
31811973 DOI:
10.1016/j.jogoh.2019.101671]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2019] [Revised: 11/14/2019] [Accepted: 11/29/2019] [Indexed: 11/16/2022]
Abstract
OBJECTIVE
Fertiloscopy is as safe as laparoscopy in literature, but we don't know its relevance in women with unexplained infertility (UI). Our objective was to assess the effects of fertiloscopy procedures on the outcomes of subsequent pregnancy occurrences in patients with UI.
METHODS
Retrospective, single-center study of all patients followed up after fertiloscopy procedures between 2002 and 2007. The occurrence and outcome of pregnancies were studied in the five years following the procedure.
RESULTS
124 fertiloscopies were performed. Pelvic exploration was considered as sufficient in 83.8% of cases, of which no abnormalities were found in 78.2%. Laparoconversions occurred for 19 patients (16.5%). The pregnancy rate at five years was 76.9%. The mean delay for pregnancy occurrence was 10.7 months (±17).
CONCLUSION
The pregnancy rate in our study is similar to that after laparoscopy. Fertiloscopy, a less intrusive procedure, should be considered as a reliable option for the management of patients with UI.
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