Autor: Jane Thorburn, Christina Bergh, Tom Bourne, Lars Hamberger, Annika Strandell, Seth Granberg
Rok vydání: 2000
Předmět:
Zdroj: Journal of Assisted Reproduction and Genetics. 17:87-92
ISSN: 1058-0468
DOI: 10.1023/a:1009409815845
Popis: Purpose: To evaluate whether a simplified infertilityinvestigation protocol, focusing on the use of hysterocontrastsonography (HyCoSy), one blood test, and a semen analysis,would be sufficient as an initial screening test to selectcouples for specific treatment. Methods: The infertile couples underwent gynaecologicalexamination, cervical sampling for cytology and Chlamydiatrachomatis culture, B-mode transvaginal ultrasonographyand basic hormonal analyses followed by a HyCoSy, and asemen analysis. A preliminary diagnosis was made for allpatients. A management plan for treatment was suggestedwhen possible; otherwise further examinations wererecommended. The data were stored for later analysis and theroutine investigation protocol was then adhered to and afinal diagnosis and treatment were decided upon. Results: Agreement between the diagnosis based on HyCoSyand our routine protocol was present in 74% of cases(N = 73). In 13% (N = 13) there was partial agreement. In36% the HyCoSy based protocol was considered sufficientto suggest treatment. Conclusions: A simplified approach may lead to asignificant reduction in both the time and cost of investigating aninfertile couple.
Databáze: OpenAIRE
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