Document Detail

Diagnosis of the principle cause for sterility in a couple, based on laparoscopic examination
MedLine Citation:
PMID:  6223471     Owner:  NLM     Status:  MEDLINE    
A complex laparoscopical approach is demonstrated, whereby clinical failure of spermiogenesis, cervical, ovarian and tubal factor of the female sterility can be detected at a single examination. Spermatozoa are aspirated from the abdominal cavity and peritubal regions following sexual intercourse or artificial "ab uxore" insemination (A. I. D.). If spermatozoa are found, the cervical factor can be excluded and the spermatozoal vitality assessed. The surgery is planned at the periovulatory period after priming a patient with clomiphene (Gravosan Spofa) and HCG (Praedyn Spofa). Follicular fluid is aspirated from large preovulatory follicles and search is done for oocytes whose maturational stage is correlated with plasma hormone levels. The examination is completed with chromoperturbation of oviducts. Out of 23 such laparoscopic examinations, the diagnosis was set down in 18 cases and 6 women became pregnant after treatment.
L Pilka; P Trávník; J Tesarík
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Zentralblatt für Gynäkologie     Volume:  105     ISSN:  0044-4197     ISO Abbreviation:  Zentralbl Gynakol     Publication Date:  1983  
Date Detail:
Created Date:  1983-08-11     Completed Date:  1983-08-11     Revised Date:  2008-02-11    
Medline Journal Info:
Nlm Unique ID:  21820100R     Medline TA:  Zentralbl Gynakol     Country:  GERMANY, EAST    
Other Details:
Languages:  ger     Pagination:  487-92     Citation Subset:  IM    
Vernacular Title:
Diagnose der grundlegenden Sterilitätsursache des Ehepaares mittels einer laparoskopischen Untersuchung.
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MeSH Terms
Fallopian Tube Diseases / diagnosis
Infertility, Female / etiology*
Insemination, Artificial
Ovarian Diseases / diagnosis
Uterine Cervical Diseases / diagnosis
Uterine Diseases / diagnosis

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