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Biomedical subjects

N Holst

Publications and source records attributed to N Holst.

40 records · Page 3Linked to original sources

Pregnancy rates after tubal surgery in different etiological groups of infertility.

An analysis was made of the history of 302 patients who underwent laparotomy for tubal infertility. The following potential risk factors and their relationship to the pregnancy rate and outcome of pregnancy were studied: various groups of gynecological laparotomy, salpingitis, gonorrhoea, complicated and uncomplicated appendicitis, induced and spontaneous abortion and IUD-usage. 234 of the 302 patients (77.5 per cent) had one or more of the potential risk factors in their history. Salpingitis was the most frequent risk factor (36.1 per cent). Regarding pregnancy rate after tubal surgery the most serious risk factor was a previously performed gynecological laparotomy, followed by salpingitis, gonorrhea and complicated appendicitis. We found a gradual decrease in the pregnancy rate with increasing number of risk factors.

Adult↗

Pregnancy rate after diagnostic curettage in the evaluation of infertility.

The Authors present a series of 200 infertile women, who underwent a diagnostic curettage as part of the evaluation of infertility. 18.6 per cent of the patients became pregnant after this procedure after correction for other causes of infertility. Most of the pregnancies were achieved within four cycles after the curettage. From this study, it seems that the removal of a pathological endometrium is not followed by pregnancy. To utilize the therapeutic potential of a diagnostic curettage in infertile women, it is suggested that regularly menstruating women with no history or clinical findings suggestive of tubal disease or endometriosis and without pathological lesions of the endometrium, should wait at least four cycles before the next invasive procedure (HSG or laparoscopy) is performed.

Adult↗