The Journal of Minimally Invasive Gynecology
Volume 14, Issue 1 , Pages 49-53, January 2007

The prevalence of fimbrial pathology in patients with early stages of endometriosis

Presented in part as an abstract and as a video presentation at the conjoined 61st Annual Meeting of the American Society for Reproductive Medicine and the 51st Annual Meeting of the Canadian Fertility and Andrology Society, Montreal, Canada, October 14–19, 2005; Fert Steril; 2005;84(Suppl 1):S197 and S478, respectively.

  • Mostafa I. Abuzeid, MD

      Affiliations

    • Center for Reproductive Medicine, Hurley Medical Center, Flint, Michigan
    • IVF Michigan, Rochester Hills, Michigan
    • Michigan State University, College of Human Medicine, East Lansing, Michigan
    • Corresponding Author InformationCorresponding author: Mostafa Abuzeid, MD, Hurley Medical Center, Two Hurley Plaza, Suite 209, Flint, MI 48503.
    • ,
  • Mohamed F. Mitwally, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan
    • ,
  • Abeer I. Ahmed, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Hurley Medical Center, Flint, Michigan.
    • ,
  • Elizabeth Formentini, BSN, MS

      Affiliations

    • Center for Reproductive Medicine, Hurley Medical Center, Flint, Michigan
    • ,
  • Mohammad Ashraf, MD

      Affiliations

    • Center for Reproductive Medicine, Hurley Medical Center, Flint, Michigan
    • IVF Michigan, Rochester Hills, Michigan
    • Michigan State University, College of Human Medicine, East Lansing, Michigan
    • ,
  • Omar M. Abuzeid

      Affiliations

    • IVF Michigan, Rochester Hills, Michigan
    • ,
  • Michael P. Diamond, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan

Received 7 April 2006; accepted 8 July 2006.

Abstract 

Study objective

The presence of fimbrial pathology in advanced endometriosis is clearly understood. However, little is known about the prevalence of fimbrial pathology in early stages of endometriosis. The purpose of this study is to determine the prevalence of fimbrial pathology in patients with infertility with early stages of endometriosis.

Design

Historical cohort study (Canadian Task Force classification II/III).

Setting

Tertiary referral center.

Patients

The study group (Group 1) consisted of 315 infertile women who were found to have stage I or stage II endometriosis, and the control group (Group 2) consisted of 152 infertile women without endometriosis (Group 2).

Intervention

Laparoscopic evaluation for the presence and type of fimbrial pathology.

Measurements and main results

The prevalence of fimbrial pathology was significantly higher in infertile patients with early stages of endometriosis (50.2%) compared with infertile patients with no endometriosis (17.8%, p <.0001).

Conclusion

These preliminary data suggest the presence of fimbrial pathology in many patients with early stages of endometriosis. Such pathology may act as a mechanical factor interfering with the ovum pick-up mechanism.

Keywords: Early stages of endometriosis, Fimbrial pathology

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PII: S1553-4650(06)00350-5

doi:10.1016/j.jmig.2006.07.003

The Journal of Minimally Invasive Gynecology
Volume 14, Issue 1 , Pages 49-53, January 2007

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