Category Archives: Endo – subfertility

How does it cause subfertility ?

Endo after a fall

A 25 yo woman presented with three years of subfertility. She had no previous pregnancies or surgical operations. She did not suffer from constipation. She was taking no medication. Laparoscopy showed the appearances on the left. The pelvis was largely … Continue reading

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Endo after TOP

A 26 yo woman with a previous surgical termination of pregnancy four years ago, presented with two years of subfertility. All fertility factors including sperm count were normal – but laparoscopy showed the image on the left. This is a … Continue reading

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Unintended effects

Conventional gynaecological wisdom, from short term studies in the 1970’s, suggests there are few consequences of surgical curettage procedures for miscarriage or termination of pregnancy (TOP) (1). Many IVF patients have injuries to their uterosacral ligaments with contained uterine nerves, … Continue reading

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Chinese constipation

It is becoming clear that young Chinese women are beginning to suffer constipation as they increasingly turn to Western diets. A 24 yo presented with an 8 cm, left sided, ovarian endometriotic cyst. She had no prior pregnancies. Laparoscopy confirmed … Continue reading

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Endo & subfertility 3

Latest evidence is that injuries to the nerve supply to the Fallopian tubes may occur in women with chronic pelvic pain or endometriosis. This frequently follows constipation or surgical procedures – such as evauation of uterus or surgical termination of … Continue reading

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Endo & subfertility 2

Our first case in the operating theatre this week is a 33 yo Chinese woman with 4 previous terminations of pregnancy and an elective Caesarean section. She presented with chronic pelvic pain. Laparoscopy (CN:fuxiangjing) showed an endometrioma in the right … Continue reading

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Endo & subfertility

Another item in “The Obstetrician & Gynaecologist” discusses endometriosis and subfertility (August, 2011). There is no doubt that there is a relationsip between endo and fertilty – but it does not look like a uniform relationship. Clearly women with grade … Continue reading

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Endometriosis and Infertility

Endometriosis and Infertility (Lancet, September 2010) Continue reading

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