There are advantages to having the male present during the initial interview. He may contribute valuable historical information. It also gives the physician the opportunity to emphasize that both partners are involved in the infertility investigation.
The male partner should to complete a semen analysis prior to the initial consultation.
Laparoscopy identifies previously unsuspected pathologic conditions in 30% to 50% of women with unexplained infertility.
Endometriosis is the most commom finding.
Endometriosis of the Ovary Copyright Trehan UTERUS RIGHT OVARY SKIN OF THE PELVIS UTERUS ENDOMETRIOTIC CYST ON OVARY BOWEL LARGE OVARIAN CYST (CHOCOLATE CYST) UTERUS LEFT OVARY RIGHT OVARY ADHESIONS Copyright Trehan Copyright Trehan
Endometriosis interferes with fertility in a number of ways(1):
Interfere with tubal motility
Cause tubal obstruction
Cause adhesion disturb the pick-up of the oocyte
The inflammation caused by retrograde menstruation and the ectopic endometrium induces an increased number of peritoneal macrophages, reducing the number of sperm available to penetrate the oocyte-cumulus complex.
GIFT is useful only in patients who have normal tube function.
Superovulation is induced as in IVF-ET; an hCG injection is given and the follicles are aspirated via laparoscopy. Sperm are then mixed with the eggs and drawn up into a catheter.The eggs and sperm are then transferred to the uterine tubes, permitting natural fertilization and cleavage.