Evaluation of Unexplained Infertility and its Relationship with Broad Ligament Varicosities
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- Category: Vol. 82, March 2014
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Evaluation of Unexplained Infertility and its Relationship with Broad Ligament Varicosities, FADL M. AL WOUSABI, SHERIF S. ZAKI and SAEED M.A. THABET
Abstract
Objectives: To evaluate the relation between the broad ligament and ovarian varicosities (female varicocele) and unexplained infertility and to determine the effect of the suggested surgical management on restoration of fertility in these cases.
Design: This study is a prospective clinical and surgical follow-up study. Cases were randomly selected among patients with unexplained infertility while fertile cases were taken as control.
Setting: Department of Obstetrics and Gynecology, Faculty of Medicine, Kasr El Aini, Cairo University, Egypt and Al Sabeen Teaching Hospital, Sana'a University, Yemen.
Patients and Methods: 50 cases of unexplained infertility and 25 fertile cases were randomly selected for this study. Diagnosis was essentially done during surgery by observing the changes in these veins in the Trendelenburg and anti-Trendelenburg positions. Unexplained infertility proved to have broad ligament varicosities were surgically managed and were followed for the results of that treatment in the following year.
Results: Diagnosis of the unexplained infertility showed the female varicocele to occur in 54% of cases, all of them were of the second and third degrees. The follow-up results showed the occurrence of pregnancy in 10 cases. Two of them ended by abortion and the rest continued to full term. Recom-mendations for diagnosing female varicocele, its grading and the technique of its surgical management were also recorded in details.
Conclusions: Female varicocele was a significant cause of unexplained infertility. Its surgical management resulted in significant cure of infertility.