Infertility

Question 1

Mycoplasma genitalium treatment?

Answer 1

Azithromycin 1gram oral STAT

Question 2

Tubal disease and IVF success rate with and without bilateral salpingectomy?

Answer 2

Bilateral salpingectomy - 29%
No salpingectomy - 16%
1/2 pregnancy and live birth rate
2x incidence of miscarriage

Question 3

Tubal surgery proximal and distal occulsion/obstruction?

Answer 3

Proximal - tubal catheterisation, tubal cornual anastomoses and tubal lavage
High risk of ectopic IVF preferred

Distal - fimbroplasty, lysis of fimbrial adhesions, dilation of fimbrial strictures, neosalpingostomy

Distal tubal surgery associated with better outcomes