Hysteroscopy is a mainstay of modern gynaecologic practice. However, the role of ambulatory hysteroscopy and associated procedures has increased dramatically in recent years. The outpatient setting has associated benefits, both for the patient and economically. The advent of less invasive vaginoscopic techniques means that diagnostic hysteroscopy is achievable safely, comfortably and efficientl...

The objective of this study was to determine the impact of the learning curve of one surgeon on the term delivery rate following laparoscopic salpingostomy for tubal infertility. This was a retrospective audit of ongoing clinical practice, undertaken in two tertiary level infertility programmes. Subjects in this study were women undergoing surgery for total occlusion of the distal Fallopian tub...

background: genital chlamydia infection (gci) and the associated pathologies have been implicated in tubal infertility. though the actual pathologic mechanisms are still uncertain, oxidative stress and other factors have been implicated. the purpose of the study was to determine the possible contribution of female reproductive hormones and biomarkers of oxidative stress in genital chlamydial in...

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with Hypaque was performed before the expected date of ovulation, and laparoscopy before menstruation.' All but one of the laparoscopies were performed under local anaesthesia2 with about 30 ml aqueous methylene blue injected under low pressure into the uterine cavity. On laparoscopy the dye could be seen traversing patent tubes and spilling into the pouch of Douglas. Bilateral tubal patency wa...

Chlamydia trachomatis can ascend from the cervix to the fallopian tubes and survive for long periods of time without causing symptoms. The immune response to infection clears the extracellular organisms but leads to development of a persistent intracellular infection. Repeated cycles of productive infection and persistence eventually induce tubal occlusion and infertility. Persistently infected...

BACKGROUND The origin of infertility in patients with endometriosis without tubal occlusion has not yet been clearly defined. Several reports show an abnormal pituitary-ovarian axis in this group of patients. Moreover, prolactin (PRL) and growth hormone (GH) secretion is closely related to reproductive status. This study aimed to evaluate PRL and GH secretion after metoclopramide and thyrotroph...

Chlamydia trachomatis (CT) infection is a common cause of tubal factor infertility, and is considered a contraindication for tubal surgery. In vitro fertilization with embryo transfer (IVF/ET) is the most widely used treatment for tubal factor infertility, including that caused by CT infection. Falloposcopy to re-canalize occluded tubes may also be useful therapeutically. It is unclear, however...