Document Detail


Fertility in anovulatory patients after primary cesarean section.
MedLine Citation:
PMID:  9800669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the fertility potential after primary cesarean section (CS) in anovulatory patients treated for ovulation induction with gonadotropins. STUDY DESIGN: A controlled, prospective study was conducted on 97 anovulatory patients who delivered a neonate either abdominally or vaginally after ovulation induction with human menopausal gonadotropin/human chorionic gonadotropin (hMG/hCG). After four cycles of hMG/hCG therapy, cumulative pregnancy rates and abortions were observed. In both groups, patients who did not conceive underwent hysterosalpingography to evaluate uterine and tubal patency. RESULTS: The cumulative pregnancy rate in the anovulatory, post-cesarean section patients treated with hMG/hCG was 61.9%, as compared to 59.6% in the control group (statistically nonsignificant). The abortion rate was similar in both groups. CONCLUSION: The risk of uterine or tubal infertility is probably not substantially increased in patients on whom uncomplicated cesarean sections have been performed. Anovulatory patients who conceive after treatment with gonadotropins and deliver abdominally should be referred for medical treatment before evaluation of any uterine or tubal infertility.
Authors:
D Bider; J Blankstein; I Tur-Kaspa
Related Documents :
19200979 - Gonadotropin-releasing hormone antagonist use in controlled ovarian stimulation and int...
17007849 - A prospective randomized trial comparing anastrozole and clomiphene citrate in an ovula...
7657739 - Gonadotrophin induction of ovulation using a step-down dose regimen: single-centre clin...
2867389 - Multifollicular ovaries: clinical and endocrine features and response to pulsatile gona...
1680089 - Intrauterine insemination as a treatment of infertility in women with antisperm antibod...
2460569 - Gamete intrafallopian transfer and plasma chorionic gonadotropin dynamics: evidence of ...
7626719 - Infertility in transgenic mice overexpressing the bovine growth hormone gene: disruptio...
23056699 - Maternal folate and vitamin b(12) status and neural tube defects in northern iran: a ca...
909659 - Abdominal pregnancy. review of current management.
Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  43     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-26     Completed Date:  1999-01-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  869-71     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Anovulation / drug therapy,  physiopathology*
Cesarean Section / adverse effects*
Fallopian Tubes / pathology
Female
Gonadotropins / therapeutic use*
Humans
Infertility, Female / physiopathology*
Pregnancy
Prospective Studies
Uterus / pathology
Chemical
Reg. No./Substance:
0/Gonadotropins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Color flow-directed Doppler studies of ovarian masses. Computer analysis.
Next Document:  Vulvar conditions and their treatment. Evaluation of a patient information booklet.