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- Title
Rationale of first-line endoscopy-based fertility exploration using transvaginal hydrolaparoscopy and minihysteroscopy.
- Authors
De Wilde, R.L.; Brosens, I.
- Abstract
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.
- Subjects
FEMALE infertility; DISEASES in women; VAGINAL hysterectomy; CULDOSCOPY; ENDOMETRIOSIS; ENDOSCOPY; TISSUE adhesions
- Publication
Human Reproduction, 2012, Vol 27, Issue 8, p2247
- ISSN
0268-1161
- Publication type
Article
- DOI
10.1093/humrep/des192