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Xiao-Min Song, Hong Jiang, Wen-Xiang Zhang, Yun Zhou, Feng Ni, Xue-Mei Wang
AIM: The aim of this study was to compare the clinical outcomes of in vitro fertilization (IVF) for patients with hydrosalpinx between ultrasound sclerotherapy and surgical intervention. METHODS: The data of 482 IVF/intracytoplasmic sperm injection (ICSI) cycles were divided into three groups according to different intervention protocols before IVF/ICSI. Group A included 265 cycles in which ultrasound sclerotherapy pretreatment was carried out before controlled ovarian hyperstimulation...
October 20, 2016: Journal of Obstetrics and Gynaecology Research
Covadonga Alvarez-Lopez, Javier De Santiago, Antonio Piñera, Roberto Rodriguez, Beatriz Herrero, Maria Herrera, Jaime Pillado, Ignacio Zapardiel
BACKGROUND: To determine the utility of three-dimensional (3D) sonography to control the position of hysteroscopic sterilizing device compared to hysterosalpingography (HSG). METHODS: A prospective observational study was carried out on 139 patients who underwent hysteroscopic tubal occlusion method between February 2012 and May 2013. Patients underwent 3D ultrasound scan to control device positioning, and they also underwent HSG as an additional control method...
October 6, 2016: Gynecologic and Obstetric Investigation
N Navali, A Gassemzadeh, L Farzadi, S Abdollahi, M Nouri, K Hamdi, F Mallah, F Jalilvand
STUDY QUESTION: Does the intrauterine administration of hCG immediately after oocyte retrieval in antagonist cycles with ICSI and fresh embryo transfer (ET) influence the implantation rate or chemical and clinical pregnancy rates? SUMMARY ANSWER: The intrauterine administration of hCG after oocyte retrieval increases the implantation rate and chemical and clinical pregnancy rates. WHAT IS KNOWN ALREADY: Over half of IVF/ICSI cycles fail due to implantation failure...
September 28, 2016: Human Reproduction
H Y Ji, J-S Yuk, J H Lee
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Mahjabeen Khan, Sapna Vinit Amin, Sujatha Bagepalli Srinivas, Roopa Padavagodu Shivananda, Navin Patil
Hydrosalpinx in postmenopausal woman is rare. Most commonly it is due to primary ovarian malignancy with fallopian tube involvement or primary fallopian tube carcinoma. But hydrosalpinx with no malignancy in the fallopian tube, associated with synchronous malignancy of ovary and endometrium is rare. In a postmenopausal women, hydrosalpinx is commonly due to fallopian tube malignancy or rarely pelvic inflammatory disease. We present a rare and very interesting case of 65-year-old nulliparous postmenopausal women with bilateral hydrosalpinx and pyometra who was found to have papillary serous adenocarcinoma of the ovary and endometroid adenocarcinoma of endomertrium with normal fallopian tube...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
Margarita V Revzin, Mahan Mathur, Haatal B Dave, Matthew L Macer, Michael Spektor
Pelvic inflammatory disease (PID) is a common medical problem, with almost 1 million cases diagnosed annually. Historically, PID has been a clinical diagnosis supplemented with the findings from ultrasonography (US) or magnetic resonance (MR) imaging. However, the diagnosis of PID can be challenging because the clinical manifestations may mimic those of other pelvic and abdominal processes. Given the nonspecific clinical manifestations, computed tomography (CT) is commonly the first imaging examination performed...
September 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Berfu Demir, Gurkan Bozdag, Ozlem Sengul, Inci Kahyaoglu, Sezcan Mumusoglu, Dila Zengin
OBJECTIVE: To determine the impact of salpingectomy on the ovarian reserve. Comparisons are made with the contralateral side in patients with unilateral salpingectomy undergoing intracytoplasmic sperm injection (ICSI) cycles. STUDY DESIGN: Patients under 40 with unilateral salpingectomy and without history of ovarian surgery were selected for the multicentre retrospective study. Women with bilateral salpingectomy and history of endometriosis were excluded from the study...
March 26, 2016: Gynecological Endocrinology
Chin-Jung Wang, Justina Go, Yu-Cheng Liu
A 34-year-old woman was seen in our department because of secondary infertility of one year duration. Transvaginal ultrasound showed a unilocular hypoechoic cystic mass in the left adnexa measuring 6.70 x 5.56 cm suggestive of a paratubal cyst. Her serum cancer antigen-125 level was 29.6 U/mL. Laparoscopy revealed torsion of the left fallopian tube, twisting around itself four times, with its distal end engorged containing chocolate-like fluid and adhered to the peritoneum and cul-de-sac. The uterus, right adnexa and left ovary were grossly normal...
July 9, 2016: Journal of Minimally Invasive Gynecology
Jai Bhagwan Sharma
Female genital tuberculosis (FGTB) is an important cause of infertility in developing countries. Various type of TB salpingitis can be endosalpingitis, exosalpingitis, interstitial TB salpingitis, and salpingitis isthmica nodosa. The fallopian tubes are thickened enlarged and tortuous. Unilateral or bilateral hydrosalpinx or pyosalpinx may be formed. A new sign python sign is presented in which fallopian tube looks like a blue python on dye testing in FGTB.
July 2016: Journal of Laboratory Physicians
Kiersten L Carter, Gus M Garmel
No abstract text is available yet for this article.
2016: Permanente Journal
Sang-Hee Yoon, Ji Young Lee, Soo-Nyung Kim, Hye Won Chung, So Yun Park, Chulmin Lee
OBJECTIVE: To investigate the impact of salpingectomy in patients with IVF treatment on ovarian response. DESIGN: Meta-analysis. SETTING: Not applicable. PATIENT(S): Patients under treatment for infertility, during the cycles before and after treatment by salpingectomy for hydrosalpinx or ectopic pregnancy. INTERVENTION(S): PubMed, MEDLINE, EMBASE databases, and CENTRAL in Cochrane Library up to July 2015...
June 20, 2016: Fertility and Sterility
David C Bulir, Steven Liang, Amanda Lee, Sylvia Chong, Elizabeth Simms, Christopher Stone, Charu Kaushic, Ali Ashkar, James B Mahony
Chlamydia trachomatis infections in women are often asymptomatic and if left untreated can lead to significant late sequelae including pelvic inflammatory disease and tubal factor infertility. Vaccine development efforts over the past three decades have been unproductive and there is no vaccine approved for use in humans. The existence of serologically distinct strains or serovars of C. trachomatis mandates a vaccine that will provide protection against multiple serovars. Chlamydia spp. use a highly conserved type III secretion system (T3SS) composed of both structural and effector proteins which is an essential virulence factor for infection and intracellular replication...
July 25, 2016: Vaccine
Shlomo B Cohen, Jerome Bouaziz, Eyal Schiff, Alexander Simon, Michel Nadjary, Mordechai Goldenberg, Raoul Orvieto, Ariel Revel
STUDY OBJECTIVE: To investigate whether hysteroscopic proximal tubal occlusion with Essure microinserts (Conceptus Inc.; Bayer, AG, North Rhine-Westphalia, Germany) can improve pregnancy rates in patients with hydrosalpinges who had failed in vitro fertilization (IVF) treatment. DESIGN: A prospective cohort study. SETTING: University-affiliated tertiary centers. PATIENTS: Twenty-four consecutive women with hydrosalpinges who had failed IVF treatment were included...
September 2016: Journal of Minimally Invasive Gynecology
Emily Evans-Hoeker, Bruce A Lessey, Jae Wook Jeong, Ricardo F Savaris, Wilder A Palomino, Lingwen Yuan, David P Schammel, Steven L Young
The objective of this study was to examine B-cell CLL/lymphoma 6 (BCL6) expression in human eutopic endometrium across the menstrual cycle in women with and without endometriosis and to establish a cutoff for future studies. This design was a series of case-control studies in tertiary University teaching hospitals. We examined BCL6 expression by messenger RNA and immunohistochemically in prospectively collected samples in both the proliferative (P) and the secretory phases. BCL6 is minimally increased in the mid-secretory phase of the menstrual cycle compared to the P phase in normal patients...
September 2016: Reproductive Sciences
Marina W Barbosa, Alexandros Sotiriadis, Stefania I Papatheodorou, Velja Mijatovic, Carolina O Nastri, Wellington P Martins
OBJECTIVES: Essure has been tested as an alternative treatment for women with hydrosalpinx before embryo transfer (ET). However, the persistence of a foreign body inside the uterine cavity might have a negative impact on pregnancy outcomes. The present systematic review aimed to identify, appraise and summarize the available evidence regarding the effectiveness and safety of using Essure for women with hydrosalpinx prior to embryo transfer. METHODS: We searched for studies in PubMed, Scopus, CENTRAL, Web of Science and ClinicalTrials...
May 6, 2016: Ultrasound in Obstetrics & Gynecology
Guillermina Montoliu-Fornas, Luis Martí-Bonmatí
Our objective was to define and propose a standardized magnetic resonance (MR) imaging structured report in patients with infertility to have clinical completeness on possible diagnosis and severity. Patients should be studied preferable on 3T equipment with a surface coil. Standard MR protocol should include high-resolution fast spin-echo T2-weighted, diffusion-weighted images and gradient-echo T1-weighted fat suppression images. The report should include ovaries (polycystic, endometrioma, tumor), oviduct (hydrosalpinx, hematosalpinx, pyosalpinx, peritubal anomalies), uterus (agenesia, hypoplasia, unicornuate, uterus didelphys, bicornuate, septate uterus), myometrium (leiomyomas, adenomyosis), endometrium (polyps, synechia, atrophy, neoplasia), cervix and vagina (isthmoceles, mucosal-parietal irregularity, stenosis, neoplasia), peritoneum (deep endometriosis), and urinary system-associated abnormalities...
June 2016: Fertility and Sterility
Yun Zhou, Hong Jiang, Wen-Xiang Zhang, Feng Ni, Xue-Mei Wang, Xiao-Min Song
AIM: To investigate whether aspiration of hydrosalpinx during oocyte retrieval could improve the clinical outcome of in vitro fertilization-embryo transfer (IVF-ET). METHODS: The clinical data of 598 IVF-ET cycles with tubal factor infertility at Reproductive Medical Center, 105 Hospital of People's Liberation Army, Anhui, China, between March 2011 and July 2015 were analyzed in this retrospective study. Among them, 71 cycles with unilateral or bilateral hydrosalpinx confirmed on both hysterosalpingography (HSG) and ultrasonography before controlled ovarian hyperstimulation (COH) were assigned to group A...
August 2016: Journal of Obstetrics and Gynaecology Research
Pietro Valerio Foti, Noemi Ognibene, Saveria Spadola, Rosario Caltabiano, Renato Farina, Stefano Palmucci, Pietro Milone, Giovanni Carlo Ettorre
OBJECTIVE: We illustrate the magnetic resonance imaging (MRI) features of non-neoplastic tubaric conditions. BACKGROUND: A variety of pathologic non-neoplastic conditions may affect the fallopian tubes. Knowledge of their imaging appearance is important for correct diagnosis. With recent advances in MRI, along with conventional MR sequences, diffusion-weighted imaging (DWI) sequences are available and may improve lesion characterization by discriminating the nature of the content of the dilated tube...
June 2016: Insights Into Imaging
Dominique de Ziegler, Paul Pirtea, Daniela Galliano, Ettore Cicinelli, David Meldrum
The authors review aberrations of uterine anatomy and physiology affecting pregnancy outcomes with IVF. In the case of endometriosis and hydrosalpinx, pathologies outside of the uterus alter the uterine endometrium. In the case of endometriosis, Dominique de Ziegler outlines the numerous changes in gene expression and the central role of inflammation in causing progesterone resistance. With endometriosis, the absence of ovarian function inherent in deferred transfer, with or without a more lengthy suppression of ovarian function, appears to be sufficient to restore normal function of eutopic endometrium...
April 2016: Fertility and Sterility
Alexandra Tsiami, Anna Chaimani, Dimitris Mavridis, Maria Siskou, Efstratios Assimakopoulos, Alexandros Sotiriadis
BACKGROUND: The presence of hydrosalpinx fluid impairs IVF-ET outcomes. Surgical methods to either aspirate the fluid or isolate the affected tubes have been tried as a means to improve outcomes. OBJECTIVES: To compare the effectiveness of surgical treatment methods for hydrosalpinx before IVF-ET. DATA SOURCES: Medline, Scopus, Cochrane Central Register of Controlled trials (Central) and the U.S. Registry of clinical trials (www.clinicaltrials...
February 29, 2016: Ultrasound in Obstetrics & Gynecology
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