Abnormal Uterine Bleeding in Women with Infertility

Sacha, Caitlin R.; Souter, Irene

doi:10.1007/s13669-017-0188-0

Cited by 2 publications

(3 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Data from the literature support the increased prevalence of synechiae ranging from 0.3% to 21.5%, with a reduced diagnostic rate given that in most cases they do not show clinical manifestations (27). Menometrorrhagia is often determined separately from the diagnosis of infertility (28), and it is associated with other pathologies; some studies show that about 16% are associated with infertility, bleeding and intrauterine pathology (29). In our study, menometrorrhagia occurred in 58.82% of subjects.…”

Section: Discussionsupporting

confidence: 64%

Hysteroscopy for Infertility in Young Women – Our Experience

POPESCU,

SIMA,

AMZA

et al. 2023

Maedica

View full text Add to dashboard Cite

Objective: Infertility is a complex condition that depends on numerous mechanisms regarding its occurrence and evolution. It does not appear as a single pathology, and therefore the diagnosis and management involve both the identification of etiological causes and other possible systemic interactions.Infertility is defined as a succession of unsuccessful attempts of unprotected intercourse within a couple for 12 months, during the reproductive life. Among the many causes related to infertility, uterine pathology has an important place and hysteroscopy is outstanding in diagnosing and treating various pathologies in this category.Material and methods: This descriptive study was conducted on a retrospective analysis of a group of patients from Bucur Clinical Hospital, Bucharest, Romania. The main data were obtained from medical electronic records and included the type of infertility, associated diagnoses and symptoms, previous investigations, hysteroscopic procedure and follow-up. In order to obtain the database, the above parameters were evaluated and processed in the IBM SPSS Statistics version 28, including other few graphs processed in Microsoft Office Excel 2007.Results: The present study included 51 patients aged between 20 and 40 years, with a mean of 32.02 ± 3.7. Out of the total number of patients, 76.47% of participants to the present study were diagnosed with secondary infertility and 58.82% described menometrorrhagias as the most common symptom. Endometrial polyps were more frequently associated with menometrorrhagias (70% of patients), while synechiae and secondary amenorrhea were found together in 75% of cases. Previous ultrasound evaluation identified uterine cavity abnormalities as nonhomogeneous echo-pattern in 58.82% of cases, with some of them being suggestive of endometrial polyps (37.25%), intrauterine synechiae (3.92%) and uterine fibromas (9.8%). We noticed that 12% of cases required laparoscopy and 4% laparotomy. The outcomes of hysteroscopic management resulted in a conception rate of 39%. We found that 20% of pregnancies achieved were complicated with placenta praevia, 5% with gestational hypertension and 15% with imminence of abortion.Conclusions: Secondary infertility was more frequently encountered than primary infertility and the most common associated manifestations included menometrorrhagia, followed by secondary amenorrhea and pelvic-abdominal pain. Transvaginal ultrasound was correlated with hysteroscopic diagnosed pathology; posthysteroscopic results were favourable, regardless of the size and location of changes in the uterine cavity, thus highlighting the importance of hysteroscopic therapeutic techniques in increasing the chances of conception.

show abstract

Section: Discussionsupporting

confidence: 64%

Hysteroscopy for Infertility in Young Women – Our Experience

POPESCU,

SIMA,

AMZA

et al. 2023

Maedica

View full text Add to dashboard Cite

show abstract

“…More researches are required to determine the effect of structural deformities and their therapy on succeeding fertility consequences in females with dysfunctional uterine bleeding. 19,20 There are numerous studies conducted to examine the relationship of dysfunctional uterine bleeding with subfertility, in spite of evolving evidences that several causes, involved in dysfunctional uterine bleeding effects the fertility in females. 10 Dysfunctional uterine bleeding is the most common condition faced by females and gynecologists.…”

Section: Discussionmentioning

confidence: 99%

“…19,20 There are numerous studies conducted to examine the relationship of dysfunctional uterine bleeding with subfertility, in spite of evolving evidences that several causes, involved in dysfunctional uterine bleeding effects the fertility in females. 10 Dysfunctional uterine bleeding is the most common condition faced by females and gynecologists. It affects around 20-30% of females of reproductive or premenopausal age.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Dysfunctional Uterine Bleeding in Patients With Sub Fertility

Tariq

Zafar

Ilyas

et al. 2022

Pak Postgrad Med J.

View full text Add to dashboard Cite

Background: Dysfunctional uterine bleeding is the idiopathic complication in premenopausal females or females that have chance to get pregnancy. It can have significant impact on quality-of-life of female and also lead to several complications including subfertility. Objective: To determine the frequency of dysfunctional uterine bleeding in patients presenting with problem of sub-fertility. Study design: Cross sectional study. Setting: Department of Obstetrics & Gynaecology, Lahore General Hospital, Lahore. Duration: 3 months (July to October 2020). Method: Sample size of 150 patients were enrolled in the study through Non Probability, Consecutive Sampling. Patients of age 20-40 years, presented with diagnosis of subfertility were included. Then females were evaluated for presence of dysfunctional uterine bleeding. Data was recorded on proforma and analyzed by using SPSS version 22. Results: The mean age of females was 32.56 ± 8.93 years. The mean BMI of females was 29.61 ± 12.43 kg/m2. The mean duration of marriage was 8.94 ± 3.47 years. There were 97 (65%) females with primary subfertility while 53 (35%) females had secondary subfertility. Out of 150 females, dysfunctional uterine bleeding was noted in 69 (46%) females while 81 (54%) females did not had dysfunctional uterine bleeding. In females with primary subfertility, dysfunctional uterine bleeding was observed in 38 (39.2%) females. In females with secondary subfertility, dysfunctional uterine bleeding was observed in 31 (58.5%) females. The difference was significant (p<0.05). Conclusion: Though this study, we found significantly high frequency of dysfunctional uterine bleeding in females with subfertility. Also the frequency of dysfunctional uterine bleeding was significantly higher in females with secondary subfertility as compared to primary subfertility.

show abstract

Abnormal Uterine Bleeding in Women with Infertility

Cited by 2 publications

References 55 publications

Hysteroscopy for Infertility in Young Women – Our Experience

Hysteroscopy for Infertility in Young Women – Our Experience

Prevalence of Dysfunctional Uterine Bleeding in Patients With Sub Fertility

Contact Info

Product

Resources

About