1. Kodaman PH, Arici A, Seli E. Evidence-based diagnosis and management
of tubal factor infertility. Curr Opin Obstet Gynecol 2004;16:221-9.
2. Swart P, Mol BW, van der Veen F, van Beurden M, Redekop WK, Bossuyt
PM. The accuracy of hysterosalpingography in the diagnosis of tubal
pathology: a meta-analysis. Fertil Steril 1995;64:486-91.
3. Farhi J, Ben-Haroush A, Lande Y, Fisch B. Role of treatment with ovarian
stimulation and intrauterine insemination in women with unilateral tubal
occlusion diagnosed by hysterosalpingography. Fertil Steril 2007;88:396-
400.
4. Ebrahimi M, Akbari Asbagh F, Ghaseminejad A. Controlled ovarian
hyperstimulation and intrauterine insemination cycles in patients with
unilateral tubal blockage diagnosed by hysterosalpingography. Iran J
Reprod Med 2011;9:15-20.
5. Berker B, Şükür YE, Kahraman K, Atabekoğlu CS, Sönmezer M,
Özmen B, et al. Impact of unilateral tubal blockage diagnosed by
hysterosalpingography on the success rate of treatment with controlled
ovarian stimulation and intrauterine insemination. J Obstet Gynaecol
2014;34:127-30.
6. Mol BW, Swart P, Bossuyt PM, van der Veen F. Is hysterosalpingography
an important tool in predicting fertility outcome? Fertil Steril 1997;67:663-
9.
7. Tvarijonaviciene E, Nadisauskiene RJ. The value of hysterosalpingography
in the diagnosis of tubal pathology among infertile patients. Medicina
(Kaunas) 2008;44:439-48.
8. Kitilla T. Tubo-peritoneal infertility: comparision of pre-operative
hysterosalpingography and laparotomy findings (Tikur Anbessa Hospital,
1995-2002). Ethiop Med J 2006;44:167-74.
9. Dessole S, Meloni GB, Capobianco G, Manzoni MA, Ambrosini G, Canalis
GC. A second hysterosalpingography reduces the use of selective technique
for treatment of a proximal tubal obstruction. Fertil Steril 2000;73:1037-9.
10. Fernandez H, Capmas P, Lucot JP, Resch B, Panel P, Bouyer J, et al.
Fertility after ectopic pregnancy: the DEMETER randomized trial. Hum
Reprod 2013;28:1247-53.
11. Papaioannou S, Afnan M, Girling AJ, Coomarasamy A, Ola B, Olufowobi
O, et al. Long-term fertility prognosis following selective salpingography
and tubal catheterization in women with proximal tubal blockage. Hum
Reprod 2002;17:2325-30.
12. Honoré GM, Holden AE, Schenken RS. Pathophysiology and management
of proximal tubal blockage. Fertil Steril 1999;71:785-95.
13. Audebert A, Pouly JL, Bonifacie B, Yazbeck C. Laparoscopic surgery
for distal tubal occlusions: lessons learned from a historical series of 434
cases. Fertil Steril 2014;102:1203-8.
The Relations Between HSG Proven Tubal Occlusion, Stimulated Intrauterine Insemination and Pregnancy Rate
Background: Tubal factor infertility is one of the main causes of female infertility. Although its sensitivity is low, hysterosalpingography (HSG) is remains the firstline method for evaluating tubal patency. Aims: To compare pregnancy rates in patients with HSG proven proximal or distal unilateral tubal occlusion,and unexplained infertility undergoing both controlled ovarian stimulation (COS) and intrauterine insemination(IUI). Study Design: Case control study. Methods: In total, 237 patients undergoing ovulation induction (OI) with gonadotropins and IUI were divided into two groups and evaluated. Study group consisted 59 patients with HSG proven unilateral tubal pathology, and 178 patients with unexplained infertility taken as control subjects. Cumulative pregnancy rate was the primary endpoint. Results: Cumulative pregnancy rates after three cycles of OI and IUI were 15.25% in study group and 20.79% in control group. Pregnancy rates between two groups were not statistically significant. Although, pregnancy rates in patients with proximal tubal occlusion (21.8%) were higher than in those with distal tubal occlusion (7.4%), the difference was not statistically significant. Conclusion: Our study data shows that, regardless of the HCG proven occlusion area, COS and IUI might be a preferred treatment modality in patient with unilateral tubal occlusion.
1. Kodaman PH, Arici A, Seli E. Evidence-based diagnosis and management
of tubal factor infertility. Curr Opin Obstet Gynecol 2004;16:221-9.
2. Swart P, Mol BW, van der Veen F, van Beurden M, Redekop WK, Bossuyt
PM. The accuracy of hysterosalpingography in the diagnosis of tubal
pathology: a meta-analysis. Fertil Steril 1995;64:486-91.
3. Farhi J, Ben-Haroush A, Lande Y, Fisch B. Role of treatment with ovarian
stimulation and intrauterine insemination in women with unilateral tubal
occlusion diagnosed by hysterosalpingography. Fertil Steril 2007;88:396-
400.
4. Ebrahimi M, Akbari Asbagh F, Ghaseminejad A. Controlled ovarian
hyperstimulation and intrauterine insemination cycles in patients with
unilateral tubal blockage diagnosed by hysterosalpingography. Iran J
Reprod Med 2011;9:15-20.
5. Berker B, Şükür YE, Kahraman K, Atabekoğlu CS, Sönmezer M,
Özmen B, et al. Impact of unilateral tubal blockage diagnosed by
hysterosalpingography on the success rate of treatment with controlled
ovarian stimulation and intrauterine insemination. J Obstet Gynaecol
2014;34:127-30.
6. Mol BW, Swart P, Bossuyt PM, van der Veen F. Is hysterosalpingography
an important tool in predicting fertility outcome? Fertil Steril 1997;67:663-
9.
7. Tvarijonaviciene E, Nadisauskiene RJ. The value of hysterosalpingography
in the diagnosis of tubal pathology among infertile patients. Medicina
(Kaunas) 2008;44:439-48.
8. Kitilla T. Tubo-peritoneal infertility: comparision of pre-operative
hysterosalpingography and laparotomy findings (Tikur Anbessa Hospital,
1995-2002). Ethiop Med J 2006;44:167-74.
9. Dessole S, Meloni GB, Capobianco G, Manzoni MA, Ambrosini G, Canalis
GC. A second hysterosalpingography reduces the use of selective technique
for treatment of a proximal tubal obstruction. Fertil Steril 2000;73:1037-9.
10. Fernandez H, Capmas P, Lucot JP, Resch B, Panel P, Bouyer J, et al.
Fertility after ectopic pregnancy: the DEMETER randomized trial. Hum
Reprod 2013;28:1247-53.
11. Papaioannou S, Afnan M, Girling AJ, Coomarasamy A, Ola B, Olufowobi
O, et al. Long-term fertility prognosis following selective salpingography
and tubal catheterization in women with proximal tubal blockage. Hum
Reprod 2002;17:2325-30.
12. Honoré GM, Holden AE, Schenken RS. Pathophysiology and management
of proximal tubal blockage. Fertil Steril 1999;71:785-95.
13. Audebert A, Pouly JL, Bonifacie B, Yazbeck C. Laparoscopic surgery
for distal tubal occlusions: lessons learned from a historical series of 434
cases. Fertil Steril 2014;102:1203-8.
Yıldırım, G. Y., Korkut, A. O., Köroğlu, N., Türkgeldi, L. S. (2017). The Relations Between HSG Proven Tubal Occlusion, Stimulated Intrauterine Insemination and Pregnancy Rate. Balkan Medical Journal, 34(1), 60-63.
AMA
Yıldırım GY, Korkut AO, Köroğlu N, Türkgeldi LS. The Relations Between HSG Proven Tubal Occlusion, Stimulated Intrauterine Insemination and Pregnancy Rate. Balkan Medical Journal. Ocak 2017;34(1):60-63.
Chicago
Yıldırım, Gonca Yetkin, Ahu Orta Korkut, Nadiye Köroğlu, ve Lale Susan Türkgeldi. “The Relations Between HSG Proven Tubal Occlusion, Stimulated Intrauterine Insemination and Pregnancy Rate”. Balkan Medical Journal 34, sy. 1 (Ocak 2017): 60-63.
EndNote
Yıldırım GY, Korkut AO, Köroğlu N, Türkgeldi LS (01 Ocak 2017) The Relations Between HSG Proven Tubal Occlusion, Stimulated Intrauterine Insemination and Pregnancy Rate. Balkan Medical Journal 34 1 60–63.
IEEE
G. Y. Yıldırım, A. O. Korkut, N. Köroğlu, ve L. S. Türkgeldi, “The Relations Between HSG Proven Tubal Occlusion, Stimulated Intrauterine Insemination and Pregnancy Rate”, Balkan Medical Journal, c. 34, sy. 1, ss. 60–63, 2017.
ISNAD
Yıldırım, Gonca Yetkin vd. “The Relations Between HSG Proven Tubal Occlusion, Stimulated Intrauterine Insemination and Pregnancy Rate”. Balkan Medical Journal 34/1 (Ocak 2017), 60-63.
JAMA
Yıldırım GY, Korkut AO, Köroğlu N, Türkgeldi LS. The Relations Between HSG Proven Tubal Occlusion, Stimulated Intrauterine Insemination and Pregnancy Rate. Balkan Medical Journal. 2017;34:60–63.
MLA
Yıldırım, Gonca Yetkin vd. “The Relations Between HSG Proven Tubal Occlusion, Stimulated Intrauterine Insemination and Pregnancy Rate”. Balkan Medical Journal, c. 34, sy. 1, 2017, ss. 60-63.
Vancouver
Yıldırım GY, Korkut AO, Köroğlu N, Türkgeldi LS. The Relations Between HSG Proven Tubal Occlusion, Stimulated Intrauterine Insemination and Pregnancy Rate. Balkan Medical Journal. 2017;34(1):60-3.