Treatment of infertility associated with endometriosis by selective tubal catheterization under hysteroscopy and laparoscopy.

Sakumoto, T; Shinkawa, T; Izena, H; Sakugawa, M; Takamiyagi, N; Inafuku, K; Kanazawa, K · Am J Obstet Gynecol · 1993

retrospective_cohort · Level III

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Abstract

To evaluate the efficacy of treatment for infertility associated with endometriosis by selective tubal catheterization under hysteroscopy and laparoscopy. Eighty-eight infertile women who underwent selective tubal catheterization with insufflation of oil-soluble radiopaque dye were reviewed. The efficacy of treatment was analyzed with regard to conception rate. The conception rate after selective tubal catheterization was higher in women with endometriosis (60%) than in women without endometriosis (36.5%) (p < 0.05). Most women conceived within the first 4 months after treatment. No statistical difference in conception rate was observed among patients with stage I, II, or III disease. Selective tubal catheterization with insufflation of oil-soluble radiopaque dye was an effective treatment for infertility associated with endometriosis.

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