Salpingoscopy in tubal endometriosis
© Springer-Verlag 2010
Received: 16 February 2010
Accepted: 29 March 2010
Published: 20 April 2010
A 35-year-old woman underwent diagnostic laparoscopy for primary infertility of 3-year duration, without associated pain symptoms. No ovulatory or male factors of infertility were present. She had previously undergone hysterosalpingography, which had revealed bilateral tubal patency 18 months before laparoscopy.
The surgeon faced the decision whether to treat or not the implants visible on the tubal serosa. If, on one side, there is sound scientific evidence that the peritoneal endometriosis implants should be treated , the treatment of tubal implants on the other side is not clear cut, being this a rare occurrence. Surgical treatment of implants on the tubal serosa, either by excision or ablation, may in fact carry the risk of creating additional scarring and retraction.
Three months after surgery, the patient spontaneously conceived an intrauterine pregnancy.
Declaration of interest
The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.
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