Long-term outcome in couples with unexplained subfertility and an intermediate prognosis initially randomized between expectant management and immediate treatment Inge M. Custers 1,*, Minouche M.E. van Rumste2, Jan Willem van der Steeg1, Madelon van Wely 1, Peter G.A. Hompes 3, Patrick Bossuyt 4, Frank J. Broekmans 5, Cees N.M. Renckens 6, Marinus J.C. Eijkemans 7, Thierry J.H.M. van Dessel 8, Fulco van der Veen1, Ben W.J. Mol 2, Pieternel Steures 1, and CECERM9

In couples with unexplained subfertility and an intermediate prognosis of natural conception, initial EM for 6 months results in a considerable cost-saving with no delay in achieving pregnancy or jeopardizing the chance of pregnancy. Further comparisons between aggressive and milder forms of ovarian stimulation should be performed                                                                                                                                                                                   DOI: 10.1093/humrep/der389

Human Reproduction, Vol.33, No.6 pp. 1130–1140, 2018 Advanced Access publication on April 6, 2018 doi:10.1093/humrep/dey082 ORIGINAL ARTICLE Reproductive endocrinology

Follicle growth and endocrine dynamics in women with spontaneous luteinized unruptured follicles versus ovulation S. T. Bashir1 , A. R. Baerwald2 , M. O. Gastal1 , R. A. Pierson2 , and E. L. Gastal1,* 1 Department of Animal Science, Food and Nutrition, Southern Illinois University, Carbondale, IL 62901, USA 2 Department of Obstetrics and Gynecology, College of Medicine, University of Saskatchewan, Royal University Hospital, Saskatoon, Saskatchewan, S7N 0W8, Canada

... The interval from emergence to deviation (i.e. follicle selection) was shorter (P < 0.05) for LUFs compared to OvFs. However, the intervals from emergence to maximum diameter and deviation to maximum diameter were longer (P < 0.05) for LUFs compared to OvFs. Follicle deviation in LUFs occurred at a larger diameter (P < 0.05) compared to OvFs, and LUFs grew to larger (P < 0.0001) diameters compared to OvFs. Moreover, LUFs grew faster (P < 0.05) from emergence to deviation and from deviation to maximum diameter, compared to OvFs. LUFs were associated with low (P < 0.05) systemic LH levels at emergence and maximum diameter compared to OvFs. LUFs were also associated with low (P < 0.05) systemic FSH and high (P < 0.05) systemic progesterone at deviation and maximum diameter, respectively. Estradiol was higher (P < 0.05) at deviation and lower (P < 0.05) at maximum diameter for LUFs compared to OvFs.

Objective: To review whether detailed videolaparoscopic evaluation of so called unexplained infertility can find out certain causes and laparoscopic corrective techniques can alleviate them. Methods: From 1998 to 2007, 1726 cases of unexplained infertility were investigated by laparoscopy at Repose Fertility Clinic, Kolkata. 846 minor tubal defects were detected. Results: According to our observation tubal defects were classified into six categories. Most of them belonged to combined aetiology. Conclusion : Different laparoscopic surgical techniques to restore structural and functional integrity of fallopian tubes may be useful in achieving pregnancy in many cases of so called unexplained infertility...

Current methods of tubal patency assessment. Fertility and Sterility Vol. 95, No. 7, June 2011 2171 doi:10.1016/j.fertnstert.2011.02.054 Copyright ª2011 American Society for Reproductive Medicine, Published by Elsevier IncRhiana D. Saunders, M.D., James M. Shwayder, M.D., J.D., and Steven T. Nakajima, M.D. Department of Obstetrics, Gynecology and Women’s Health, University of Louisville, Louisville, Kentucky 

Антимюллеров гормон как маркер репродуктивной системы женщины

• O. В. БулавенкоVinnytsya National Memorial Medical University named after M.I. Pirogov, Ukraine. REPRODUCTIVE ENDOCRINOLOGY  
• No. 1 (2011) /
• Endocrinology of reproduction

Spatial Relationships between Serrated Granulosa and Vascularity of the Preovulatory Follicle and Developing Corpus Luteum. Journal of Equine Veterinary Science O.J. Ginther VMD, PhD a b, E.L. Gastal DVM, PhD b, M.O. Gastal DVM, PhD a Volume 27, Issue 1, January 2007, Pages 20-27  

Should a hysterosalpingogram be a first-line investigation to diagnose female tubal subfertility in the modern subfertility workup? Chou Phay Lim1, Zaid Hasafa 1, S. Bhattacharya 2, and A. Maheshwari 3,* 1 Obstetrics and Gynaecology

Tubal assessment is an integral part of female fertility evaluation. While diagnostic laparoscopy is gold standard, it is not suitable to be used as a screening test. Hysterosalpingogram (HSG) has been advocated as first-line investigation historically. With advances in diagnostics, more tests are available, such as hysterosalpingo contrast sonography (HyCoSy) and Chlamydia antibody titre (CAT) are available. The CAT test is much cheaper, less invasive and can be performed at any time during the cycle. The CAT test can also be used as a means of identifying which patients need further evaluation. HyCoSy has same diagnostic accuracy as HSG, without exposing women to radiation. We argue that HSG is out of date and has no place in a modern infertility evaluation. We also suggest a pathway (based on history, clinical and ultrasound evaluation) for investigations to screen for and diagnose tubal pathology...