Biomedical subjects

K R Gupta

Publications and source records attributed to K R Gupta.

21 records · Page 2Linked to original sources

PubMedDate not supplied

Is hysterosalpingography an important tool in modern gynecological practice?

OBJECTIVE: To assess the value of hysterosalpingography (HSG) in diagnosing tubal patency and peritubal adhesions. PATIENTS AND METHODS: HSG was followed whenever possible by diagnostic laparoscopy with chromopertubation to give the final prognosis in cases of infertility. RESULTS: Normal HSG findings were obtained in 669 women, and abnormal ones in 306. No significant correlation was found between age of patient, duration, type of infertility, and HSG findings. Tubal blockage was seen in 89.2% and uterine factor in 9.4% of cases. Peritubal adhesions were suggestive in 12.75% of cases. On laparoscopy, done in about half of these women, findings were in agreement with HSG in 59.87% of cases. Follow-up was carried out whether the woman conceived, had a laparotomy, or required further investigations. CONCLUSION: Although somewhat insensitive, the high specificity of hysterosalpingography makes it very helpful for ruling out tubal disease, even where endoscopic evaluation is available.

Adult↗

PubMedDate not supplied

The need for clinical evaluation and semen analysis of infertile men.

OBJECTIVE: Although many men in Third World countries are reluctant to participate in an infertility work-up, we collected data from a group of husbands of females attending our infertility clinic. We intend to present these results as motivation for other men to realize the importance of an evaluation when they are involved in a barren marriage. STUDY METHODS: A detailed history was taken, and physical and urogenital examination was carried out on 400 male partners of women attending the infertility clinic of PGIMER Chandigarh. Semen analysis was interpreted as normal or abnormal according to the WHO manual. RESULTS: Age of the male partners of 400 infertile couples and their duration of infertility correlated with the pregnancy rate. Fifty percent of the men with a past history of infection, medical or surgical problems had abnormal semen analysis. The presence of urogenital abnormalities had a significant correlation with low sperm count and low motility. Social problems related to alcohol and smoking produced low pregnancy rates. CONCLUSION: A detailed history, examination and work-up of male partners of infertility couples is as important as in the female partner. Counseling and treatment may improve pregnancy rates.

Adult↗

PubMedDate not supplied

Psychological aspects of infertility due to various causes--prospective study.

SUBJECTS AND METHODS: One hundred and twenty infertile couples (30 each among unexplained infertility, anovulation, tubal factor, and male factor groups) and 30 fertile couples as controls were evaluated for psychological assessment by different psychological test instruments. Initial evaluation was done at recruitment, followed by reassessment at 3, 6, 9 and 12 months during the infertility work-up, and at the end when the specific diagnosis and the management and prognosis were disclosed. RESULTS: Psychological components were found to play a significant role in infertility of unknown etiology, especially in the male partner. They affected the personality and social behavior of the male partner and caused anxiety, but led to depression in the female partner. In cases of organically caused infertility, partners were worried about the other's reaction. Anxiety was significantly greater in the partner with the fertility problem than in the other partner. Life events were significant in the partner in whom the fertility problem was detected. Periodic psychological assessment was not affected by infertility work-up on the male partner in any of the groups, whereas anovulation and tubal factor infertility showed a significant psychological effect on the female partner at the end of work-up. Depression and anxiety in the female partner were evident soon after the investigation started.

Adaptation, Psychological↗