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Related Experiment Videos

Is laparoscopy necessary before assisted reproductive technology?

C Tamer Erel1, Levent M Senturk

  • 1Division of Reproductive Endocrinology, IVF Unit, Istanbul University Cerrahpasa School of Medicine, Istanbul, Turkey. tamererel@superonline.com

Current Opinion in Obstetrics & Gynecology
|May 5, 2005
PubMed
Summary
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Laparoscopy before assisted reproductive technology (ART) is not proven to increase pregnancy rates for adhesions or endometriosis. Consider laparoscopy for hydrosalpinges, polycystic ovary syndrome, or transposed ovaries in cancer survivors undergoing ART.

Area of Science:

  • Reproductive Medicine
  • Minimally Invasive Surgery
  • Infertility Treatment

Background:

  • Laparoscopy is frequently employed in infertility evaluations.
  • Its necessity in all cases, particularly before assisted reproductive technology (ART), is questioned.

Purpose of the Study:

  • To delineate specific indications for laparoscopic intervention in women undergoing ART cycles.
  • To optimize the use of laparoscopy in the infertility work-up.

Main Methods:

  • This is a review article.
  • It synthesizes current evidence and clinical guidelines regarding laparoscopy in ART.

Main Results:

  • No evidence supports increased pregnancy rates with laparoscopy for pelvic adhesions or endometriosis prior to ART.

Related Experiment Videos

  • Laparoscopy is recommended for bilateral hydrosalpinges (salpingectomy) to improve ART success.
  • Laparoscopic ovarian drilling may benefit PCOS patients with prior severe OHSS.
  • Ovarian transposition repositioning via laparoscopy aids ART monitoring in cancer survivors.

    • Conclusions:

    • Laparoscopy before ART is indicated when it simultaneously diagnoses and treats pelvic pathology.
    • Intervention should be considered if laparoscopy is expected to enhance pregnancy chances in subsequent ART cycles.