Rationale of first-line endoscopy-based fertility exploration using transvaginal hydrolaparoscopy and minihysteroscopy

Human Reproduction
R L De Wilde, I Brosens


The transvaginal access for exploration of tubo-ovarian function in women with unexplained infertility has been revived since transvaginal hydrolaparoscopy (THL) was introduced in 1998. One prospective double-blind trial and several reviews have validated the diagnostic value of THL in comparison with laparoscopy for the exploration of women with unexplained infertility. A review of the recent literature confirms the efficacy and safety of the technique for first-line endoscopy-based exploration of fertility. The standard policy of 1-year delay for laparoscopic investigation in unexplained infertility is challenged. In older women and particularly in women experienced in fertility awareness methods, THL and minihysteroscopy can be performed after a waiting period of 6-12 months.


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Feb 1, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Caihong MaShuo Yang

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Nov 26, 2013·Reproductive Biomedicine Online·Sarah KleinSteven Simoens
Apr 29, 2014·Journal de gynécologie, obstétrique et biologie de la reproduction·C BraidyH Fernandez
May 27, 2015·Archives of Gynecology and Obstetrics·Pierluigi GiampaolinoCostantino Di Carlo
Feb 19, 2015·Reproductive Biomedicine Online·M FranzH Husslein

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