[Laparoscopic assessment following failure to achieve pregnancy after intrauterine inseminations in patients with normal hysterosalpingograms].
OBJECTIVE
To assess the diagnostic benefit of laparoscopy in infertile women thought to be at low risk for altered pelvic anatomy.


METHODS
Retrospective chart review.


METHODS



METHODS
127 infertile patients who underwent laparoscopic evaluation of the pelvis failing to conceive after intrauterine inseminations (IUI) with normal hysterosalpingography (HSG).


METHODS
Diagnostic and/or therapeutic laparoscopy.


METHODS
Presence of pelvic pathology and predictors of pelvic disease.


RESULTS
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.


CONCLUSIONS
Laparoscopic findings could lead to a change of treatment decisions in high number of infertile patients with normal hysterosalpingography.
Jedrzejczak
Piotr
P
Klinika Niepłodności i Endokrynologii Rozrodu, Katedra Ginekologii i Poloznictwa, Akademia Medyczna im K Marcinkowskiego w Poznaniu.
Serdyńska
Monika
M
Brazert
Maciej
M
Pelesz
Marek
M
Pawelczyk
Leszek
L
D000291:Adnexal Diseases / Q000175:diagnosis; D000328:Adult; D002584:Cervix Uteri / Q000473:pathology; D004715:Endometriosis / Q000175:diagnosis; D005184:Fallopian Tube Diseases / Q000175:diagnosis; D005260:Female; D005831:Genital Diseases, Female / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000209:etiology / Q000628:therapy*; D007315:Insemination, Artificial; D010535:Laparoscopy / Q000379:methods*; D008499:Medical Records; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000175:diagnosis; D016387:Women's Health