HYALOBARRIER ® GEL ENDO Versus no HYALOBARRIER® GEL ENDO Following Operative Hysteroscopy for Improving Reproductive Outcome in Women With Intrauterine Pathology Wishing to Become Pregnant

Conditions:   Infertility;   Polyp Uterus;   Myoma;Uterus;   Adhesion;   Hysteroscopy;   Uterine Septum;   Retained Products of Conception Intervention:   Device: Hyalobarrier® gel endo Sponsors:   University Hospital, Ghent;   Belgium Health Care Knowledge Centre;   Nordic Pharma SAS;   Universitaire Ziekenhuizen Leuven;   Universitair Ziekenhuis Brussel;   Imelda Hospital, Bonheiden;   CTC BIMETRA;   University of Liège;   UCL Bruxelles Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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CONCLUSIONS: At present, there is no high-quality evidence to support the routine use of hysteroscopy as a screening tool in the general population of subfertile women with a normal ultrasound or hysterosalpingogram in the basic fertility work-up for improving reproductive success rates.In women undergoing IVF, low-quality evidence, including all of the studies reporting these outcomes, suggests that performing a screening hysteroscopy before IVF may increase live birth and clinical pregnancy rates. However, pooled results from the only two trials with a low risk of bias did not show a benefit of screening hysteroscopy bef...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
ConclusionsPolypectomy improved the conception rate in the subsequent year regardless of the intrauterine localization and the method of its surgical removal. Therefore, we can conclude that polypectomy should be considered in infertile women.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
IVF can be an expensive treatment, and cost is a major constraint for lots of patients, who need to be careful about how they spend their money.The problem is that lots of IVF clinics provide very misleading information about how much they charge for an IVF cycle. Many take out full-page ads , saying they charge only Rs 25000 for an IVF cycle, which seems like a very attractive bargain for infertile couples.However, it's only when the patient starts the cycle, that she realizes that there're all kinds of additional costs she has to pay for , which were hidden from her. However, once she's started the treatment, she forced ...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
Publication date: Available online 26 March 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Aarathi Cholkeri-Singh, Ina Zamfirova, Charles E. MillerAbstractStudy ObjectivePrimary objective is to determine whether incorporation of operative hysteroscopy with biopsy of products of conception, in conjunction with a suction curettage for a first trimester missed abortion, affected the rate of maternal cell contamination when chromosomal analysis was performed on the products of conception. Secondary objective was to determine the rates of retained products of conception with incorporation of hysteroscopy post su...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Conditions:   Infertility;   Polyp Uterus;   Myoma;Uterus;   Adhesion;   Hysteroscopy;   Uterine Septum;   Retained Products of Conception Intervention:   Device: Hyalobarrier® gel endo Sponsors:   University Hospital, Ghent;   Belgium Health Care Knowledge Centre;   Nordic Pharma SAS;   Universitaire Ziekenhuizen Leuven;   Universitair Ziekenhuis Brussel;   Imelda Hospital, Bonheiden;   CTC BIMETRA;   University of L...
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionYounger age, earlier treatment within disease course, fewer cervical canal adhesions, and fewer surgical procedures improve reproductive outcome in patients with severe IUAs and amenorrhea.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Built on 2 existing classification systems, this study was to develop a new classification system to better predict the pregnancy prognosis after laparoscopic surgery in patients with tubal factor infertility and accordingly propose a management strategy. We followed up 423 patients suffering from tubal factor infertility who had undergone hysteroscopic-laparoscopic surgery for 2 years without in vitro fertilization and embryo transfer (IVF/ET). Based on the operative reports, a new, modified classification of fallopian tube status (hereafter referred to as the modified classification) was developed with reference to the ...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Publication date: Available online 10 February 2019Source: Best Practice &Research Clinical Obstetrics &GynaecologyAuthor(s): Vasilios Tanos, Zara Abigail ToneyAbstractThe increasing rate of elective and indicated caesarean sections worldwide has led to new pathologies and management challenges. The number of patients undergoing trial of labor after caesarean section (TOLAC) is also increasing. Three professional societies provide detailed guidelines based on scientific evidence for the management of patients attempting vaginal birth after caesarean section (VBAC). However, they do not provide any recommendations f...
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research
Introduction: Either appearing after miscarriage or abortion by request, the trophoblastic retention is often easy to diagnose, but the management can be difficult. Therefore, severe consequences may appear: endometritis, infertility, intrauterine adhesions, persistent molar pregnancy.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Oral Poster at Breakfast 7 – EARLY PREGNANCY LOSS and ECTOPIC Source Type: research
Introduction: Submucosal fibroids result in abnormal uterine bleeding and infertility leading to hysteroscopic resections. The data on whether submucous fibroids should be removed is conflicting. The Cochrane dated February 2015 suggests that there is not enough evidence to recommend routing hysteroscopic resection of submucous fibroids. The AAGL (American Association of Gynecologic Laparoscopists) recommends the removal of submucous fibroids in infertility and in selected patients with abnormal uterine bleeding and recurrent pregnancy loss.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Session 40 – Innovation and technology Source Type: research
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