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Journals / Turkish Journal of Obstetrics and Gynecology / 2016 / Cilt: 13 - Sayı: 1

Histerosalpingografide tek taraflı tubal oklüzyon saptanan hastaların kontrollü ovaryan hiperstimulasyon/intrauterine inseminasyon sonuçları

The outcomes of controlled ovarian hyperstimulation/ intrauterine insemination in patients with unilateral tubal occlusion on hysterosalpingograph

Selçuk SELÇUK
Mehmet KÜÇÜKBAŞ
İlter YENİDEDE
SEMRA KAYATAŞ ESER
Ahmet ESER
ÇETİN ÇAM
Hüseyin Tayfun KUTLU
Pages
7–10
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition, COH/IUI may be considered as the first-line treatment option in the management of these patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of the present study was to evaluate the pregnancy rates of intrauterine insemination (IUI) and controlled ovarian hyperstimulation (COH) in patients with one-sided tubal occlusion on hysterosalpingography (HSG).Materials and Methods: Patients who underwent COH/IUI were enrolled into this retrospective cohort study.
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Key Findings & Data:The outcomes of COH/IUI were compared between the study and control groups.Results: Ninety-seven patients in the study group (n=44) and control group (n=53) who underwent COH/IUI treatment were included into study.
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Conclusion & Impact:In addition, COH/IUI may be considered as the first-line treatment option in the management of these patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of the present study was to evaluate the pregnancy rates of intrauterine insemination (IUI) and controlled ovarian hyperstimulation (COH) in patients with one-sided tubal occlusion on hysterosalpingography (HSG).Materials and Methods: Patients who underwent COH/IUI were enrolled into this retrospective cohort study. The patients with one-sided tubal occlusion diagnosed under HSG who met the inclusion criteria were accepted into the study group. The control group consisted of patients with unexplained infertility. The outcomes of COH/IUI were compared between the study and control groups.Results: Ninety-seven patients in the study group (n=44) and control group (n=53) who underwent COH/IUI treatment were included into study. The biochemical, clinical, and ongoing pregnancy rates were similar between patients with unilateral occlusion diagnosed under HSG and those with unexplained infertility. The spontaneous pregnancy rate within one year was higher in patients with normal HSG than in patients with unilateral tubal occlusion, but the difference did not show statistical significance.Conclusion: Infertile patients with one-sided tubal occlusion in HSG can be managed as with patients with unexplained infertility and normal HSG findings. In addition, COH/IUI may be considered as the first-line treatment option in the management of these patients.

Özet

Amaç: Bu çalışmada histerosalpingografide (HSG) tek taraflı tubal oklüzyon saptanmış olan hastaların kontrollü ovaryan hiperstimülasyon (KOH) ve intrauterine inseminasyon (IUI) tedavisi sonrası gebelik oranlarını araştırmayı amaçladık.Gereç ve Yöntemler: Bu retrospektif kohort çalışmaya KOH/IUI tedavisi alan hastalar dahil edildi. HSG'de unilateral tubal oklüzyon saptanmış hastalar çalışma grubu olarak kabul edildi. Kontrol grubu; açıklanamayan infertilite tanısı almış hastalardan oluşturuldu. Çalışma ve kontrol grupları KOH/IUI sonuçları açısından karşılaştırıldı. Bulgular: Bu çalışmaya KOH/IUI tedavisi almış 97 hasta (çalışma grubu=44, kontrol grubu=53) dahil edildi. HSG ile tanı konulmuş tek taraflı tubal oklüzyonu olan hastalar ile açıklanamayan infertilitesi olan hastalar arasında biyokimyasal, klinik ve devam eden gebelik oranları benzer olarak bulundu. Kontrol grubunda, ilk yıl içinde spontan gebelik oranları çalışma grubuna göre daha yüksek olarak bulundu ancak bu fark istatistiksel olarak anlamlı değildi.Sonuç: HSG'de tek taraflı tubal oklüzyon saptanan infertil hastalar, normal HSG bulgularına sahip infertil hastalar gibi yönetilebilirler. Ayrıca, belirtilen hasta grubunda KOH/IUI ilk tedavi seçeneği olarak düşünülebilir.

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Cite This Article

SELÇUK, S., KÜÇÜKBAŞ, M., YENİDEDE, İ., ESER, S. K., ESER, A., ÇAM, Ç., KUTLU, H. T. (2016). Histerosalpingografide tek taraflı tubal oklüzyon saptanan hastaların kontrollü ovaryan hiperstimulasyon/intrauterine inseminasyon sonuçları. Turkish Journal of Obstetrics and Gynecology, Cilt: 13 - Sayı: 1, 7–10. https://ajindex.com/articles/376316

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