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الرئيسية > Pregnancy outcome after hyster...>الوصف

Pregnancy outcome after hysteroscopy in women with unexplained infertility

المصدر: المجلة الجامعة
الناشر: جامعة الزاوية - مركز البحوث والدراسات العليا
المؤلف الرئيسي: Gammo, Rania A. (Author)
المجلد/العدد: مج23, ع1
محكمة: نعم
الدولة: ليبيا
التاريخ الميلادي: 2021
الشهر: مارس
الصفحات: 91 - 102
رقم MD: 1265800
نوع المحتوى: بحوث ومقالات
اللغة: الإنجليزية
قواعد المعلومات: EduSearch, EcoLink, IslamicInfo, AraBase, HumanIndex
مواضيع:
الطب النساوي | الأمراض الحمل | النساء والتوليد
كلمات المؤلف المفتاحية:
Unexplained Infertility | HSG | Normal Uterus | Spontaneous Pregnancy | Pregnancy Outcome | Hysteroscopy
رابط المحتوى:

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المستخلص: The aim of this study was to review diagnostic and operative hysteroscopy findings and treatment in women with unexplained infertility to evaluate whether hysteroscopy should be recommended to these patients who had the diagnosis of missed uterine abnormalities and to evaluate the impact of this proposed procedure on subsequent pregnancy outcome for those women. Two hundred infertile women, Previously diagnosed as unexplained infertility, were chosen randomly for the study over three years collected from private clinic as out patients The participants were randomized using computer software into two groups: A. study group including 100 infertile women who were shortlisted for the studied hysteroscopy procedure and B. control group including 100 women with unexplained infertility that was followed up without the proposed hysteroscopy intervention. All hysteroscopy were performed using a diagnostic and operative indication. The findings, complications, were recorded. The results showed that 70 % of patients had a normal uterine cavity. Twenty women had endometrial polyps. Other pathology included sub mucous momma in 3 cases (3 %), 3 cases had intrauterine adhesions and 3 cases had polyploidy endometrium and one case had bicorn ate uterus .The pathological finding were treated in all patients without complications. A year follow up of the total developing cumulative pregnancy rate (CPR) was evaluated in group A and B (control) Group A revealed the total CPR of 28.5 % among which 25 % in women without pathology, 40% in women with endometrial polyps, 23 % in women with adhesions, 33 % in women with polyploidy endometrium and 21% in those with bicorn ate uterus. A year follow up of spontaneous pregnancy outcome in-group B showed a total CPR of 15 %. Women safety and feasibility of simultaneous operative correction make the proposed hysteroscopy ideal and routine procedure in order to diagnose and treat missed intrauterine abnormalities especially in cases of unexplained infertility with additional improvement of the pregnancy outcome following the hysteroscopy procedure.

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