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Human Reproduction, Vol. 8, No. 10, pp. 1654-1659, 1993
© 1993 European Society of Human Reproduction and Embryology

research-article

Infertility: Investigation of impaired ovarian function as a contributing factor to infertility in women with pelvic adhesions*

M.C. Bowman1, I.D. Cooke and E.A. Lenton

University Department of Obstetrics and Gynaecology, Jessop Hospital for Women Leavygreave Road, Sheffield S3 7RE, UK,

Correspondence: 1To whom correspondence should be addressed at: Department of Obstetrics and Gynaecology, Royal North Shore Hospital of Sydney, St Leonards NSW 2065, Australia

A prospective study was performed to determine whether a relationship exists between infertility as a result of pelvic adhesions, and raised follicle stimulating hormone (FSH). A total of 66 patients, who had a diagnostic laparoscopy and dye performed as part of their infertility work-up, had an early cycle serum FSH drawn one to two cycles after this procedure. Patients were divided into two groups, one with pelvic adhesions as a result of surgery, infection or endometriosis, and a control group consisting of those with a normal pelvis at laparoscopy or with minimal/mild endometriosis without adhesions. In the adhesion group, a correlation was noted between American Fertility Society (AFS) adhesion score and basal FSH concentration, although all FSH values for this group were within the normal range. This study suggests a correlation between pelvic adhesions and ovarian compromise, but a larger study involving more severe cases of adhesions is required to determine whether this finding is of clinical importance.

Key words: adhesions/FSH/ovary

*Presented at the Joint British Fertility Society/Society for the Study of Fertility Meeting, Bristol, UK, December 1992.


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