Mechanical Infertility

About us | Contact us

Be in the know with our newsletters

Linkedin group

You are here: Home

IVF Survey

Mechanical Infertility

Mechanical Infertility

The incidence of mechanical factor infertility ranges from 7 to 18%, with the variability mostly associated with the geography and developmental status of the country in which the study was performed. Investigation can be done using a variety of procedures, and the objective of the survey below is to share information on diagnostic procedures used.

The personal data requested aims only to assure the safety and authenticity of the data submitted. No personal data will be published.

Name

Name of IVF center

1. Country

2. Estimated number of total IVF cycles performed by the unit annually

3. What is your primary method of evaluating tubal patency?

1 - Hysterosalpingogram
2 - Hysterosalpingo-contrast-sonography
3 - Diagnostic laparoscopy with chromopertubation
4 - None of the above

4. Do you routinely evaluate tubal patency in every case of infertility?

1 - Always
2 - Only in patients with risk factors for tubal obstruction
3 - Only in cases where there is no clear indication for IVF
4 - I do not evaluate tubal patency

5. What is your primary method of evaluating the uterine cavity?

6. Do you perform reproductive surgery for patients with tubal obstruction?

1 - Yes
2 - No

7. In the presence of a uterine septum (>50% of the uterine cavity length) do you perform hysteroscopic excision before starting treatment.

1 - Yes, in all cases
2 - Not before a failed IVF attempt
3 - In patients over 37 y-o before starting any treatment
4 - In patients over 40 y-o before starting any treatment
5 - Only with a history of miscarriages
6 - None of the above

8. What is your preferred treatment for women with a history of bilateral tubal ligation who desire more children?

1 - IVF always
2 - Tubal reanastomosis surgery
3 - Depends on patient's request
4 - None of the above

9. In the case of hydrosalpinx observed during an US examination, what would be your first treatment option?

1 - Antibiotics
2 - Salpingectomy
3 - Salpingostomy
4 - Proximal tubal catheterization/ligation
5 - Aspiration of fluid from the tube
6 - Continue with stimulation with no intervention for at least one cycle
7 - None of the above

10. For which patients preparing for IVF do you perform a salpingectomy or any other procedure to block tubes?

1 - All patients with hydrosalpinx visible on US examination before any IVF attempt
2 - Only patients with failed IVF and visible hydrosalpinx - on the US examination
3 - In all cases with failed IVF and blocked tubes even though they are not visible on the US
4 - None of the above

11. How do you manage patients undergoing IVF with an endometrioma smaller than 5 cm in diameter?

1 - No special procedure
2 - Aspirate the endometrioma before starting IVF
3 - Aspirate the endometrioma at the time of egg retrieval
4 - Ignore the endometrioma in an attempt to avoid puncturing it
5 - Pharmacological treatment only
6 - None of the above

12. How do you manage patients going through IVF with an endometrioma larger than 5 cm?

1 - No special procedure
2 - Laparoscopic excision before starting IVF
3 - Aspirate the endometrioma before stating IVF
4 - Aspirate the endometrioma at the time of egg retrieval
5 - Ignore the endometrioma in an attempt to avoid puncturing it
6 - Pharmacological treatment only
7 - None of the above

13. If you perform laparoscopic surgery for infertility patients, what percentage of the time is it robotic-assisted?

1 - None
2 - Less than 5%
3 - More than 20%

14. In light of the possibility of using a surrogate mother, do you think it is worthwhile to put efforts into developing a method of uterine transplant?

1 - Yes
2 - No

IVF Worldwide Live

IVF Worldwide Surveys