Do Women With Unilateral Fallopian Tube Abnormality Require Assisted Reproductive Technology Treatment As The Primary Treatment?
Journal Title: Obstetrics Gynecology and Reproductive Sciences - Year 2018, Vol 1, Issue 2
Abstract
Aim: To evaluate whether useful treatment unilateral fallopian tube abnormality patients receive spontaneous treatment under primary treatment. Methods: Total of 823 patients with a desire to achieve pregnancy who underwent hysterosalpingography (HSG) were divided into three groups according to their HSG results as follows: normal, unilateral abnormality, and bilateral abnormality. Treatment results (pregnancy rate, spontaneous abortion rate, and multiple pregnancy rate) with or without assisted reproductive technology (ART) were determined and compared. Results: Of the 823 patients, 483 (58.7%) achieved a pregnancy, 95 (19.7%) suffered a spontaneous abortion, 7 (1.4%) had ectopic pregnancies, and 13 (2.7%) had multiple pregnancies. The 483 patients who became pregnant were classified as follows: 432 of 715 (60.4%) in the normal Fallopian tube group; 46 of 90 (51%) in the unilateral abnormality group; and 5 of 18 (28%) in the bilateral abnormality group. No significant difference was found between the groups. Conclusion: There were no significant pregnancy rate differences between the three groups. The study demonstrated that a high pregnancy rate could be achieved with general infertility treatment to unilateral Fallopian tube abnormality patients. Capsule: Women with unilateral fallopian tube abnormality treat prior to spontaneous treatment than assisted reproductive technology as primary treatment option.
Authors and Affiliations
Yoshimasa Yokota
Keywords
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- EP ID EP421622
- DOI 10.31579/25788965/jogrs/005
- Views 57
- Downloads 0
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