Rationale of first-line endoscopy-based fertility exploration using transvaginal hydrolaparoscopy and minihysteroscopy

The transvaginal access for exploration of tubo-ovarian function in women with unexplained infertility has been revived since transvaginal hydrolaparoscopy (THL) was introduced in 1998. One prospective double-blind trial and several reviews have validated the diagnostic value of THL in comparison wi...

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Veröffentlicht in:Human reproduction (Oxford) 2012-08, Vol.27 (8), p.2247-2253
Hauptverfasser: De Wilde, R.L., Brosens, I.
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container_title Human reproduction (Oxford)
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creator De Wilde, R.L.
Brosens, I.
description The transvaginal access for exploration of tubo-ovarian function in women with unexplained infertility has been revived since transvaginal hydrolaparoscopy (THL) was introduced in 1998. One prospective double-blind trial and several reviews have validated the diagnostic value of THL in comparison with laparoscopy for the exploration of women with unexplained infertility. A review of the recent literature confirms the efficacy and safety of the technique for first-line endoscopy-based exploration of fertility. The standard policy of 1-year delay for laparoscopic investigation in unexplained infertility is challenged. In older women and particularly in women experienced in fertility awareness methods, THL and minihysteroscopy can be performed after a waiting period of 6–12 months.
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subjects Adult
Biological and medical sciences
Clinical Trials as Topic
Endometriosis - diagnosis
Endoscopy - methods
Fallopian Tube Diseases - diagnosis
Female
Gynecology. Andrology. Obstetrics
Humans
Hysteroscopy - methods
Infertility, Female - diagnosis
Laparoscopy - methods
Medical sciences
Ovarian Diseases - diagnosis
Ovary - pathology
title Rationale of first-line endoscopy-based fertility exploration using transvaginal hydrolaparoscopy and minihysteroscopy
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