Infertile Women with Bilateral Obstructed Tubes: (A presentation of 7 cases)

• Main Authors: Osman Develioğlu (Author), Eser Özyürek (Author), Yurtkuran Sadıkoğlu (Author), Ganime Sadıkoğlu (Author), Ercan Tuncel (Author)
• Format: Book
• Published: Medical Network, 2006-12-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1300-4751
• Keywords: Selective salpingography, Tubal cannulation, Tubal factor, Infertility, Tubal obstruction; Gynecology and obstetrics; RG1-991
• Source: Gynecology Obstetrics & Reproductive Medicine, Vol 12, Iss 3 (2006)

OBJECTIVE: Selective salpingography (SS), and tubal cannulation (TC), are possible alternatives to IVF(ICSI)-ET treatment f or bilateral proximal tubal occlusion . We present a series of infertile patients who presented with bilateral tubal blockage in their hysterosalpingographies (HSG's); and were treated with selective salpingography and tubal cannulation. STUDY DESIGN: Case presentation of 7 infertile patients with bilateral proximal tubal obstruction who were treated with SS and if required TC to provide tubal patency and followed-up for 3 years. RESULTS: In 6 of the 7 couples, at least one of the fallopian tubes was opened with SS-TC. At the end of 3 years'f ollow-up of these couples, 4 achieved pregnancy; 2 being spontaneously and 2 with conventional infertility treatment. 2 of these pregnant couples ( both conceiv ed spontaneously) had diminished ovarian reserves, as well. CONCLUSION: SS-TC is an important, effective and a rather neglected potential alternative to assisted reproductive technologies which demands to be studied in randomized controlled trials.