This might seem like a surprising diagnosis, but often the cause for the infertility is ignorance.Interestingly, this is true , no matter how sophisticated or educated the infertile couple is.Many of them don't understand basic reproductive biology , and are very confused as to how to calculate their fertile time is. Thus, many women don't know what Day 1 of their cycle is. They haven't been told that Day 1 = the day their menstrual period starts, and will often count the day the flow stops as being Day 1 !They are smart enough to buy Apps and use ovulation prediction kits to track ovulation, but often they end up misusing them, because of all the myths and misconceptions they already have.It's simple stuff, but the reason they make these errors is because they assume they already know how to determine their fertile time, based on the second hand distorted information they get from their friends; or they are too embarrassed to ask their doctor such basic questions, because they don't want to share their ignorance !Sadly, doctors can also contribute to this mess. Thus, many doctors advice couples to have sex frequently around Day 14, based on the simple assumption that ovulation occurs for women on Day 14. Now this may be true in text books, but real life is very different. Also, many doctors don't seem to know that the woman's fertility drops after ovulation, because her cervical mucus dries up, and creates a barrier for sperm entry !What to find an IVF clinic which...
Assess pregnancy rates after surgery for deep infiltrating endometriosis (DIE) in infertile patients, and in women without proven infertility, and whether ART was necessary to achieve pregnancy.
Transcervical radiofrequency ablation of uterine fibroids is an incisionless procedure to treat nonpedunculated uterine fibroids, including those that are not amenable to operative hysteroscopy. However, its safety and effectiveness regarding fertility and fecundity have not been established, including among women with infertility. This is a report of a pregnancy that occurred in a woman after transcervical radiofrequency (RF) ablation of uterine fibroids and assisted reproduction.
Subendothelial (intracavitary) leiomyomas are rare and can be challenging to manage. They commonly recur and can present with significant abnormal uterine bleeding or infertility. Our objective is to discuss the clinical presentation, diagnosis and management of this rare condition. The patients in these series presented with either heavy menstrual bleeding or infertility. Preoperative imaging studies showed multiple small fibroids, however the diagnosis was not confirmed until the uterus was surgically evaluated.
Laparoscopic Intracapsular Myomectomy helps in avoiding the opening of uterine cavity in infertile women with deep intramural myomas compressing the cavity.Infertile women with deep intramural myomas compressing the cavity, laparoscopic intracapsular myomectomy may be preferred to avoid opening the uterine cavity.
Fibroids are common, benign masses which can result in significant morbidity for affected women due to heavy menstrual bleeding and anemia, bulk symptoms and infertility. In women who are pre-menopausal or wishing to retain future fertility, the surgical management of symptomatic fibroids is by way of myomectomy. The surgical removal of fibroids can be associated with significant intraoperative blood loss and subsequent blood transfusion, which is an important morbidity associated with this elective procedure in reproductive-aged women.
The objective of this study is to investigate the relationship between sliding sign and the EFI, and to explore the practicality of using sliding sign to predict EFI score less than seven.
The study objective is to evaluate the minimally invasive (Laparoscopic&Hysteroscopic) management of isthmocele in infertile patients and their short term follow up.
To demonstrate the diagnosis and surgical management of the dysmorphic uterus for in patient with primary infertility.
This study aims to assess whether increasing time intervals between hysteroscopy for IUAs and ET affects pregnancy outcomes in the ideal study group of those undergoing euploid frozen ET.
Uterine isthmoceles are pouchlike defects in the anterior uterine wall, at the site of a prior cesarean section scar. Its prevalence has increased in direct relation to the increase in cesarean rates worldwide. Isthmoceles cause abnormal uterine bleeding, secondary infertility, and pain. There is no standard treatment for isthmoceles. This video demonstrates a robotic assisted laparoscopic approach to the resection of a uterine isthmocele.