Abstract:
OBJECTIVE:To evaluate the role of saline infusion sonohysterography (SIS) in the investigation of uterine abnormalities and malformations in patients referred for infertility work-up compared with women with abnormal uterine bleeding (AUB). DESIGN:Prospective cohort study. SETTING:Academically oriented private practice. PATIENT(S):One thousand nine consecutive women examined by SIS for infertility work-up (n = 600, infertility group) or AUB investigation (n = 409, AUB group). INTERVENTION(S):SIS. MAIN OUTCOME MEASURE(S):Intracavitary abnormalities and uterine anomalies. RESULT(S):Among the women in the infertility group, 16.2% (n = 97) were found to have intracavitary abnormalities, including polyps (13.0%), submucous fibroids (2.8%), and adhesions (0.3%). Significantly, more patients in the AUB group (39.6%, n = 162) revealed intracavitary abnormalities, including polyps (29.8%), submucous fibroids (9.0%), and adhesions (0.7%). In contrast, significantly more uterine anomalies were found in the infertility group (20%, n = 120) compared with the AUB group (9.5%, n = 39). Arcuate uterus was the most common finding (15% vs. 6.4% of patients, respectively). CONCLUSION(S):An SIS procedure for infertility work-up revealed a substantial percentage of infertile patients with intracavitary abnormalities and uterine anomalies. Because the technique is safe, well tolerated, and feasible in an outpatient setting, SIS should be considered routinely in the early stage of infertility and AUB investigation.
journal_name
Fertil Steriljournal_title
Fertility and sterilityauthors
Tur-Kaspa I,Gal M,Hartman M,Hartman J,Hartman Adoi
10.1016/j.fertnstert.2006.05.044subject
Has Abstractpub_date
2006-12-01 00:00:00pages
1731-5issue
6eissn
0015-0282issn
1556-5653pii
S0015-0282(06)03058-5journal_volume
86pub_type
杂志文章abstract::Survey results demonstrate that the majority of fertility clinics in California are willing to care for couples affected by human immunodeficiency virus (HIV) if legal restrictions are removed. In response to scientific advances and evolving clinical standards, California reversed the limitations placed on the provisi...
journal_title:Fertility and sterility
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abstract::Amenorrhea is the absence or abnormal cessation of the menses. Primary and secondary amenorrhea describe the occurrence of amenorrhea before and after menarche, respectively. ...
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journal_title:Fertility and sterility
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更新日期:2002-06-01 00:00:00
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abstract:OBJECTIVE:To clarify whether the metabolism of triglyceride-rich lipoproteins and lipid transfer to high-density lipoprotein (HDL) are altered in patients with polycystic ovary syndrome (PCOS). DESIGN:Case-control study. SETTING:Endocrinology clinics. PATIENT(S):Eight normal-weight (NW) and 15 obese (Ob) patients wi...
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journal_title:Fertility and sterility
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pub_type: 临床试验,杂志文章
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更新日期:2007-12-01 00:00:00
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更新日期:2008-11-01 00:00:00
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doi:10.1016/s0015-0282(16)55249-2
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更新日期:2014-06-01 00:00:00
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更新日期:2008-11-01 00:00:00
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更新日期:2014-04-01 00:00:00
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更新日期:2013-11-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2006-01-01 00:00:00
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更新日期:1995-12-01 00:00:00
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更新日期:1997-02-01 00:00:00
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更新日期:2004-09-01 00:00:00
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更新日期:2010-02-01 00:00:00