Document Detail


A new evaluation score that uses salpingoscopy to reflect fallopian tube function in infertile women.
MedLine Citation:
PMID:  20403593     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To build an evaluation scoring system using the results of salpingoscopy, and to evaluate the relationship between this scoring system and the outcome of pregnancy.
DESIGN: Retrospective study.
SETTING: Sugiyama Clinic.
INTERVENTION(S): Using salpingoscopy, we observed the tubal lumen, paying attention to the following six results: adhesions, loss of mucosal folds, rounded edges of mucosal folds, debris, foreign bodies, and abnormal vessels.
PATIENT(S): From April 2008 through June 2009, 104 women in whom unexplained infertility had been diagnosed underwent salpingoscopy. The F scores were evaluated related with various clinical results or pregnancy rates.
MAIN OUTCOME MEASURE(S): The F score expressed the sum of the abnormal results, and one abnormal result was given a 1-point F score.
RESULTS: Approximately 60% of the patients showed an F score of 0, and the percentages of patients who showed 1, 2, 3, and ≥4 points were 19.2%, 11.5%, 4.5%, and 4.5%, respectively. After evaluation, 23 patients achieved pregnancy within a year. The pregnancy rates for patients with F scores of 0 and 1 point were 30.6% and 20.0%, respectively, and the rate of patients with an F score of 0 was significantly higher than the rate of patients with high F scores (F score ≥2; 9.1%).
CONCLUSION(S): The patients showing a lower F score (0 or 1) showed higher fecundity than those showing an F score of ≥2.
Authors:
Koji Nakagawa; Masato Inoue; Yayoi Nishi; Rie Sugiyama; Koji Motoyama; Yasushi Kuribayashi; Shigeo Akira; Rikikazu Sugiyama
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2010-04-18
Journal Detail:
Title:  Fertility and sterility     Volume:  94     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-26     Completed Date:  2011-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2753-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Division of Reproductive Medicine, Sugiyama Clinic, Tokyo, Japan. nakagawa-jiko@spice.ocn.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Fallopian Tube Diseases / complications,  physiopathology,  radiography*,  therapy
Fallopian Tubes / physiopathology*
Female
Humans
Hysterosalpingography / methods
Infertility, Female / etiology,  physiopathology*,  radiography*,  therapy
Laparoscopy / methods,  rehabilitation
Pregnancy
Pregnancy Rate
Reproductive Techniques, Assisted
Research Design*
Retrospective Studies
Treatment Outcome

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


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