Profile of a patient with tubal peritoneal infertility with unsuccessful attempts of IVF

Abstract

Tubal-peritoneal infertility ranks first among the reasons for carrying out IVF in the Irkutsk region. The effectiveness of assisted reproductive technologies programs in particular, programs of in vitro fertilization depends on many factors. In addition to the quality of embryos - factor that is almost impossible to influence, the effectiveness of IVF depends on the presence of persistent foci of infection in women with infertility. A retrospective analysis of 83 patients with an established diagnosis of primary infertility, tubal-peritoneal factor, the average age of 35.8 ± 1.5years, the duration of infertility averaged 4.5 ± 1.3 years, the level of Anti-Müllerian hormone (AMG) is not lower than 1 ng/ml (sufficient ovarian reserve), after unsuccessful attempts of application of methods of assisted reproductive technologies (one or more inefficient IVF program). Mostly, patients had normal indices of body mass index. We preformed a retrospective analysis of 83 cases histories of patients of "Mother and child" clinic, Irkutsk, with established diagnosis of primary infertility with tubal-peritoneal factor and composed a clinical profile of a patient. All patients were examined for genital tuberculosis, which was diagnosed in 12 women (14.4 %). Genital tuberculosis as a hidden source of infection has no pathognomonic symptoms and difficult to diagnose, so the presence of indirect signs should alert the obstetrician-gynecologist for early diagnosis of this disease. For early and timely detection of genital tuberculosis in women with reproductive disorders, active implementation of an expanded list of risk factors in the outpatient stage is necessary.

Keywords

• infertility
• tubal peritoneal factor of infertility
• fertility
• genital tuberculosis
• in vitro fertilization
• external genital endometriosis
• chronic endometritis
• hysterosalpingography
• phthisiogynecology
• assisted reproductive technologies