Authors:
István Szabó 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

Search for other papers by István Szabó in
Current site
Google Scholar
PubMed
Close
,
Zoltán Langmár 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary
Üllői út 78/A, H-1082, Budapest, Hungary

Search for other papers by Zoltán Langmár in
Current site
Google Scholar
PubMed
Close
,
Zoltán Fontányi 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

Search for other papers by Zoltán Fontányi in
Current site
Google Scholar
PubMed
Close
,
Gábor Sobel 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

Search for other papers by Gábor Sobel in
Current site
Google Scholar
PubMed
Close
,
Gádám Galamb 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

Search for other papers by Gádám Galamb in
Current site
Google Scholar
PubMed
Close
,
Dóra Zergényi-Molnár 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

Search for other papers by Dóra Zergényi-Molnár in
Current site
Google Scholar
PubMed
Close
, and
Attila Pajor 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

Search for other papers by Attila Pajor in
Current site
Google Scholar
PubMed
Close
Restricted access

Abstract

Tubal infertility, in particular proximal tubal occlusion (PTO) (15–25%), is gaining increasing attention. In the case of bilateral tubal occlusion, in vitro fertilization (IVF) is indicated since the expected pregnancy rate (EPR) is the same as can result from macrosurgical methods. The pregnancy rate after microsurgical procedures can go up to 60–70%. Despite the fact that better and encouraging results are being obtained by sophisticated assisted reproduction techniques, IVF procedures that are performed unnecessarily or not indicated objectively can result in serious consequences. Therefore, there is no question that refining the procedures used for evaluating the fallopian tubes is extremely important in order to reduce the physical and psychological burden on the patients, as well as from the viewpoint of cost effectiveness. We recommend a diagnostic method to ensure tubal patency in one session. The procedure is easy to perform and, according to our experience, the examination is highly accurate.

  • [1]. P. Serafini J. Batzofin 1989 Diagnosis of female infertility, a comprehensive approach J. Reprod. Med. 34 2940.

  • [2]. A. Grant 1971 Infertility surgery of the oviduct Fertil. Steril. 22 496503.

  • [3]. V. Gomel 1977 Tubal reanastomosis by microsurgery Fertil. Steril. 28 5965.

  • [4]. A. S. Thurmond M. J. Novy B. T. Uchida J. Rosch 1987 Fallopian tube obstruction: selective salpingography and recanalization Radiology 163 511514.

    • Search Google Scholar
    • Export Citation
  • [5]. U. Deichert R. Schlief M. Van de Sandt I. Juhnke 1989 Transvaginal hysterosalpingo-contrast-sonography (HyCoSy) compared with conventional tubal diagnostics Hum. Rep. 4 418424.

    • Search Google Scholar
    • Export Citation
  • [6]. J. Daniell W. Miller 1987 Hysteroscopic correction of cornual occlusion with resultant term pregnancy Fertil. Steril. 48 490492.

    • Search Google Scholar
    • Export Citation
  • [7]. M. J. Novy 1995 Transhysteroscopic techniques for tubal catheterization Ref. Gynec. Obstet. 2 6771.

  • [8]. J. Kerin E. Surrey D. B. Williams L. Daykhovsky W. S. Grundfest 1991 Falloposcopic observation of endotubal mucus plugs as a cause of reversible obstruction and their histologic characterization J. Laparoendosc. Surg. 1 110.

    • Search Google Scholar
    • Export Citation
  • [9]. V. C. Karande D. E. Pratt R. Rao M. Balin N. Gleicher 1995 Elevated tubal perfusion pressures during selective salpingography are highly suggestive of tubal endometriosis Fertil. Steril. 64 10701073.

    • Search Google Scholar
    • Export Citation
  • [10]. S. Bettocchi L. Selvaggi 1997 A vaginoscopic approach to reduce the pain of office hysteroscopy J. Am. Assoc. Gynecol. Laparosc. 4 225258.

    • Search Google Scholar
    • Export Citation
  • [11]. G. Placido R. Clarizia C. Cadente G. Castaldo C. Romano A. Mollo C. Alviggi S. Conforti 2007 Compliance and diagnostic efficacy of mini-hysteroscopy versus traditional hysteroscopy in infertility investigation Eur. J. Obstet. Gynecol. Reprod. Biol. 135 8387.

    • Search Google Scholar
    • Export Citation
  • [12]. S. Das L. G. Nardo M. W. Seif 2007 Proximal tubal disease: the place for tubal cannulation Reprod. BioMed. Online 15 383388.

  • Collapse
  • Expand

Clinical and Experimental Medical Journal
Language English
Size  
Year of
Foundation
2007
Publication
Programme
ceased
Volumes
per Year
 
Issues
per Year
 
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2060-6249 (Print)
ISSN 2060-968X (Online)

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Nov 2024 21 0 0
Dec 2024 9 0 0
Jan 2025 20 0 0
Feb 2025 26 0 0
Mar 2025 17 0 0
Apr 2025 12 0 0
May 2025 6 0 0