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Retrospective study, including patients from january 2013 to december 2018, who were diagnosed with unexplained infertility : spontaneously ovulating women with normal pelvic ultrasound scan, patent tubes on hysterosalpingography and normal pelvic exam or pelvic MRI normal. Semen analyses were normal according to the World Health Organization criteria. Couples were referred for diagnostic laparoscopy and hysteroscopy. They were then addressed for spontaneous fertility or ART to conceive. The investigators would like to see how many surgeries were useful to assess a diagnostic, and if operating allows a satisfying pregnancy rate. The investigators would like to assess how many diagnosis was done after surgery and how many pregnancy were obtained. The investigators search other prognostic factors than age or parity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Unique cohort | All women, 18 to 43 years, operated from laparoscopy-hysteroscopy for unexplained infertility in montpellier university hospital |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laparoscopy-hysteroscopy | Procedure | Under general anesthesia, we start by a first look in laparoscopy, to look for endometriosis mainly, tubal infertility, ovarian cysts or any abnormalities that may not have been suspected on the first exam. Then we check tubal patency after a look at the uterine cavity by hysteroscopy. Then we treat everything possible to treat to improve fertility, spontaneous or with ART. |
| Measure | Description | Time Frame |
|---|---|---|
| clinical pregnancy rate | pregnancy with an hearbeat on a pelvic ultrasound scan | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with miscarriage | Number of Participants with miscarriage : positive pregnancy blood test, resulting in bleeding | 1 day |
| live birth rate | live birth rate : birth of a viable foetus after 24 SA |
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Inclusion criteria:
Exclusion criteria:
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In Montpellier University center only, France : from january 2013 to december 2018 unexplained infertile couple, trying to conceive for more than one year and operated by laparoscopy-hysteroscopy
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| Name | Affiliation | Role |
|---|---|---|
| Claire Vincens, doctor of medecine | University Hospital, Montpellier | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Uhmontpellier | Montpellier | 34295 | France |
NC
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some endometrial biopsy
|
| 1 day |
| Number of Participants with fœtal losses | Number of Participants with Foetal losses : loss of a non viable foetus, before 24 SA | 1 day |
| Number of Participants with ectopic pregnancy | Number of Participants with ectopic pregnancy: tubal pregnancy highly suspected by blood test or seen on a pelvic ultrasound scan | 1 day |
| Number of Participants with surgical complications | Number of Participants withSurgical complications : during surgery, and a few days after surgery | 1 day |
| Number of Participants with type of surgery | Number of Participants with type of surgery: tubal surgeries, adhesiolysis, endometriosis surgeries, hysteroscopic gestures. | 1 day |