Expanding the scope of the basic infertility workup

Author:
Eve C. Feinberg, M.D.

Volume 104, Issue 6, Page 1379

Abstract:

Reflections on “Chlamydia trachomatis IgG3 seropositivity is a predictor of reproductive outcomes in infertile women with patent fallopian tubes” by Steiner et al.

  • Jason M. Franasiak

    Although not necessarily within the scope of this study, it would be of interest to see if interventions might be required to optimize therapy when IVF is indicated in those with Ct-seropositivity. Could it be that salpingectomy might improve outcomes when tubal function is impaired as suggested with seropositivity as we have seen with presence of hydrosalpinges? A 1 in 10 risk of ectopic certainly does suggest significantly impaired function – does it suggest we might be able to intervene to optimize outcomes? A very interesting discussion in this reflections.

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