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[Pregnancy of women with endoscopically detected and untreated sterility. Retrospective analysis of "false negative" findings (author's transl)].

Diagnostic endoscopy was applied to 188 women for sterility diagnosis. "Apparent tubal sterility" was recorded from 56 patients. Seven of them turned pregnant without therapy, though bilateral tubal occlusion had been earlier established. An attempt is made in a retrospective analysis to find out what the possible causes might have been of such "false negative" findings. Particular reference is made to spastic intramural tubal occlusion.

Fallopian Tube Diseases↗

Retrograde menstruation in healthy women and in patients with endometriosis.

Blood was found in the peritoneal fluid in 90% of women with patent tubes at laparoscopy during perimenstrual time. If the fallopian tubes were occluded, then only 15% of patients had evidence of blood in the pelvis. Also, 90% of patients with endometriosis and eight of nine women on oral contraceptives had bloody fluid during the menstrual period. The present observations indicate that retrograde menstruation through the fallopian tubes into the peritoneal cavity is a very common physiologic event in all menstruating women with patent tubes.

Ascitic Fluid↗

[Tubal sterility: Disturbances in haemostasis and cardiac arrest during the shirodkar manoeuvre (author's transl)].

Over a period of 10 months (august 1975 to may 1976), the authors observed 6 successive accidents during the Shirodkar manoeuvre during operations for sterility of tubal origin: 1) 4 cases involved disturbances in haemostasis only, clinical manifestations being seen in only one case. In the laboratory, these quite atypical manifestations suggested either fibrinolysis or disseminated intravascular coagulation. 2) In 2 cases there was cardiovascular collapse with cardiac arrest. In the first patient, cardiac arrest was followed by a period of coagulopathy quite similar to those seen previously. In the second case resuscitation failed, leading the authors to abandon use of the Shirodkar manoeuvre, which brought the study to an end. We are unable to provide any satisfactory pathological interpretation of these complications, thought two factors are worthy of consideration:--The hydrocortisone suspension used;--The uterine trauma related to peroperative manipulations.

Blood Coagulation Disorders↗

[Information obtainable from hysterosalpingography and laparoscopy and importance of tubal factor in sterile patients (author's transl)].

Hysterosalpingography was used in 437 instances and laparoscopy in 99 to check 455 women for tubal patency who come to seek special advice for sterility. Hysterosalpingography was used together with laparoscopy, the latter second in time, on 81 women. Findings agreed in 64.2 per cent and differed in 35.8 per cent. Tubal occlusion was recorded from 106 patients (23.3 per cent). They were unilateral in 70 cases (66.04 per cent) and collateral in 36 cases (33.96 per cent). Thirty-one of the latter 106 women (29.24 per cent) with unilateral or collateral tubal occlusion turned pregnant. Yet, pregnancy occurred only to five of the above 36 women with collateral occlusion. The causes of those apparent tubal occlusions are discussed.

Fallopian Tube Diseases↗

[Effectiveness of primary and postsurgical hydrotubation (author's transl)].

Hydrotubation is a conservative method to cope with complete or partial tubal occlusion. Hydrotubation was applied postsurgically to 60 women and as primary treatment to another 72 women, all patients suffering from primary and secondary sterility. - Minor complications, including abdominal pain, were recorded from 15 patients. Pregnancy occurred to 13, among them eleven who had received postsurgical hydrotubation.

Fallopian Tube Diseases↗

Dynamic echohysteroscopy: new perspectives for diagnostic sonography in female infertility.

Dynamic echohysteroscopy is a new diagnostic method which can be applied to the clinical problems of infertility, providing informations on the morphology of the internal genitals. The Authors underline the clinical validity of this diagnostic technique, even though more experience is required in order to define a better standardization of the method.

Fallopian Tube Diseases↗

Considerations on tubal sterility of presumed psychogenic origin.

The Authors evaluate a certain number of patients presenting primary or secondary infertility, in the search of any emotional problem which could be responsible for it. While it is hard to demonstrate the psychological origin in some cases of infertility and to quantify its real incidence, the Authors point out the importance of ruling out any psychological factor at the beginning of the work-up for the infertile couple and particularly while ascertaining the tubal patency through the hysterosalpingography, a diagnostic technique which can be very stressing for women.

Adult↗