Retrospective study, including patients from january 2013 to december 2018, who were diagnosed with unexplained infertility : spontaneously ovulating women with normal pelvic ultrasound scan, patent tubes on hysterosalpingography and normal pelvic exam or pelvic MRI normal. Semen analyses were normal according to the World Health Organization criteria. Couples were referred for diagnostic laparoscopy and hysteroscopy. They were then addressed for spontaneous fertility or ART to conceive. The investigators would like to see how many surgeries were useful to assess a diagnostic, and if operating allows a satisfying pregnancy rate. The investigators would like to assess how many diagnosis was done after surgery and how many pregnancy were obtained. The investigators search other prognostic factors than age or parity.
Study Type
OBSERVATIONAL
Enrollment
250
Under general anesthesia, we start by a first look in laparoscopy, to look for endometriosis mainly, tubal infertility, ovarian cysts or any abnormalities that may not have been suspected on the first exam. Then we check tubal patency after a look at the uterine cavity by hysteroscopy. Then we treat everything possible to treat to improve fertility, spontaneous or with ART.
Uhmontpellier
Montpellier, France
clinical pregnancy rate
pregnancy with an hearbeat on a pelvic ultrasound scan
Time frame: 1 day
Number of Participants with miscarriage
Number of Participants with miscarriage : positive pregnancy blood test, resulting in bleeding
Time frame: 1 day
live birth rate
live birth rate : birth of a viable foetus after 24 SA
Time frame: 1 day
Number of Participants with fœtal losses
Number of Participants with Foetal losses : loss of a non viable foetus, before 24 SA
Time frame: 1 day
Number of Participants with ectopic pregnancy
Number of Participants with ectopic pregnancy: tubal pregnancy highly suspected by blood test or seen on a pelvic ultrasound scan
Time frame: 1 day
Number of Participants with surgical complications
Number of Participants withSurgical complications : during surgery, and a few days after surgery
Time frame: 1 day
Number of Participants with type of surgery
Number of Participants with type of surgery: tubal surgeries, adhesiolysis, endometriosis surgeries, hysteroscopic gestures.
Time frame: 1 day
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.