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Assessment of Tubal Patency in Women with Endometriosis

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Endometriosis-related Infertility

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Abstract

The assessment of tubal patency is similar in women with endometriosis and those with other causes of infertility. The patency of the fallopian tubes can be assessed by hysterosalpingography (HSG), hystero-salpingo contrast sonography (HyCoSy), and laparoscopic chromopertubation. HSG allows to evaluate the tubal patency in patients with endometriosis, but it does not allow to diagnose endometriosis or to assess its severity. Because of its invasive nature, laparoscopy should be reserved for those women needing surgery and not only for evaluating the fallopian tubes. HyCoSy should be the first-line investigation of tubal patency in women with endometriosis. It allows a one-step evolution of tubal patency, uterus (myometrium and endometrium), deep endometriosis, and ovarian endometrioma.

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Authors and Affiliations

  1. Unit of Obstetrics and Gynecology, P.O. “Ospedale del Tigullio”- ASL4, Metropolitan Area of Genoa, Genoa, Italy

    Fabio Barra

  2. Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy

    Fabio Barra

  3. Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy

    Marco Crosa & Simone Ferrero

  4. Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy

    Francesco Rosato

  5. Department of Neurology, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), IRCCS Ospedale Policlinico San Martino, University of Genoa, Genova, Genova, Italy

    Giulio Evangelisti & Simone Ferrero

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  1. Fabio Barra
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  2. Marco Crosa
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  3. Francesco Rosato
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  4. Giulio Evangelisti
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  5. Simone Ferrero
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Editors and Affiliations

  1. Department of Neurology, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), IRCCS Ospedale Policlinico San Martino, University of Genoa, Genova, Italy

    Simone Ferrero

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Barra, F., Crosa, M., Rosato, F., Evangelisti, G., Ferrero, S. (2024). Assessment of Tubal Patency in Women with Endometriosis. In: Ferrero, S. (eds) Endometriosis-related Infertility. Springer, Cham. https://doi.org/10.1007/978-3-031-50662-8_8

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  • DOI: https://doi.org/10.1007/978-3-031-50662-8_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-50661-1

  • Online ISBN: 978-3-031-50662-8

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