Unexplained infertility. A reappraisal.
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Abstract
During a 30-month period 229 couples were evaluated for infertility at the Naval Regional Medical Center, Oakland. Laparoscopy was used in all cases of otherwise unexplained infertility. The resulting laparoscopic examination of the female partner of 24 such couples demonstrated abnormal findings in 18 (75%). Of these 18 subjects, unsuspected endometriosis was found in 11 (46%) and peritubal adhesions in 7 (29%). Of the 229 couples evaluated, only 8 (3.5%) failed to show some etiologic factor associated with infertility. Thus, the previously reported 10 to 20% incidence of unexplained infertility is too high an estimate in view of the additional information made available through pelvic endoscopy.
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Cited by (17)
- Role of diagnostic hystero laparoscopy (DHL) in the evaluation of infertility 2019
- Findings in diagnostic laparoscopy in patients with unexplained infertility 2015
- Controlled ovarian hyperstimulation and intrauterine insemination cycles in patients with unilateral tubal blockage diagnosed by hysterosalpingography. 2011
- Distribution of causes of infertility in patients attending primary fertility clinics in Israel. 2011
- Benefit of Diagnostic Laparoscopy for Patients with Unexplained Infertility and Normal Hysterosalpingography Findings 2009
- Hysterosalpingography, Laparoscopy or Both in the Diagnosis of Tubal Disease in Infertility 2008
- Investigation of the infertile couple 2002
- Endoscopy in the Evaluation of the Woman Experiencing Infertility 2000
- Comparison of anesthetic methods for microlaparoscopy in women with unexplained infertility 1999
- Macrophage Activation Factors and Cytokines in Peritoneal Fluid from Patients with Endometriosis 1994
- Endometriosis as a Cause of Infertility 1989
- Unexplained infertility: a review 1985
- Peritoneal fluid prostanoids in unexplained infertility 1983
- Infertility laparoscopy in perspective: Review of five hundred cases 1982
- The effectiveness of danazol on subsequent fertility in minimal endometriosis 1982
- Pelvic macrophages in normal and infertile women: The role of patent tubes 1982
- The Unsuspected Pelvic Factor in the Infertility Investigation 1980
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