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Related Experiment Videos

Pelvic schistosomiasis and infertility.

S El-Mahgoub

    International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
    |June 1, 1982
    PubMed
    Summary

    Laparoscopy diagnosed pelvic schistosomiasis in infertile women, revealing adhesions and ovulatory issues. Treatment led to pregnancy in 46% of cases, highlighting schistosomiasis as a cause of infertility.

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    Area of Science:

    • Reproductive medicine
    • Infectious diseases
    • Minimally invasive surgery

    Background:

    • Pelvic schistosomiasis is often asymptomatic.
    • It can contribute to infertility through pelvic adhesions and ovulatory dysfunction.

    Purpose of the Study:

    • To investigate the role of asymptomatic pelvic schistosomiasis in female infertility.
    • To evaluate the efficacy of laparoscopic diagnosis and subsequent treatment.

    Main Methods:

    • Laparoscopy was used to diagnose pelvic schistosomiasis in 13 infertile women.
    • Assessment included pelvic adhesions, luteal phase defects, and anovulation.
    • Treatment involved adnexolysis, antiparasitic medication, and ovulation induction.

    Main Results:

    Keywords:
    AdhesionsDiseasesEndoscopyExaminations And DiagnosesInfertilityLaparoscopyParasitic DiseasesPhysical Examinations And DiagnosesPregnancyReproductionSigns And SymptomsTreatment

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    • Schistosomiasis was diagnosed in all 13 women.
    • Pelvic adhesions were present in 100% of cases.
    • Luteal phase defects occurred in 23.1% and anovulation in 15.4%.
    • Intrauterine pregnancy was achieved in 46% of patients post-treatment.

    Conclusions:

    • Laparoscopy is effective in diagnosing asymptomatic pelvic schistosomiasis in infertile women.
    • Schistosomiasis-associated pelvic pathology significantly impacts fertility.
    • A multidisciplinary treatment approach improves pregnancy rates.