Screening strategies for tubal factor subfertility

Screening strategies for tubal factor subfertility.

BACKGROUND Different screening strategies exist to estimate the risk of tubal factor subfertility, preceding laparoscopy. Three screening strategies, comprising Chlamydia trachomatis IgG antibody testing (CAT), high-sensitivity C-reactive protein (hs-CRP) testing and hysterosalpingography (HSG), were explored using laparoscopy as reference standard and the occurrence of a spontaneous pregnancy ...

Screening strategies for tubal factor subfertility

J.E. den Hartog1,5, C.M.J.G. Lardenoije1, J.L. Severens2,3, J.A. Land1,4, J.L.H. Evers1 and A.G.H. Kessels2 Research Institute Growth and Development (GROW), Department of Obstetrics and Gynaecology, Maastricht University Medical Centre, PO Box 5800, 6202 AZ Maastricht, The Netherlands; Department of Clinical Epidemiology and Medical Technology Assessment (KEMTA), Maastricht University Medical ...

Chlamydia trachomatis-associated tubal factor subfertility: Immunogenetic aspects and serological screening.

Chlamydia (C.) trachomatis female genital tract infections usually remain asymptomatic and untreated. Therefore, an adequate immune response, rather than antibiotic treatment, is essential to clear the pathogen. Most women will effectively clear C. trachomatis infections, but some will have persistent C. trachomatis infections, which may ascend to the upper genital tract and increase the risk o...

Should a hysterosalpingogram be a first-line investigation to diagnose female tubal subfertility in the modern subfertility workup?

Tubal assessment is an integral part of female fertility evaluation. While diagnostic laparoscopy is gold standard, it is not suitable to be used as a screening test. Hysterosalpingogram (HSG) has been advocated as first-line investigation historically. With advances in diagnostics, more tests are available, such as hysterosalpingo contrast sonography (HyCoSy) and Chlamydia antibody titre (CAT)...

Economic strategies in modern male subfertility treatment.