Fertility in anovulatory patients after primary cesarean section

D. Bider, J. Blankstein, I. Tur-Kaspa

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


OBJECTIVE: To evaluate the fertility potential after primary cesarean section (CS) in anovulatory patients treated/or ovulation induction with gonadotropins. STUDY DESIGN: A controlled, prospective study was conducted on 97 anovulatory patients who delivered a neonate either abdominally or vaginally after ovulation induction with human menopausal gonadotropin/human chorionic gonadotropin (hMG/hCG). After four cycles of hMG/hCG therapy, cumulative pregnancy rates and abortions were observed. In both groups, patients who did not conceive underwent hysterosalpingography to evaluate uterine and tubal patency. RESULTS: The cumulative pregnancy rate in the anovulatory, post-cesarean section patients treated with hMG/hCG was 61.9%, as compared to 59.6% in the control group (statistically nonsignificant). The abortion rate was similar in both groups. CONCLUSION: The risk of uterine or tubal infertility is probably not substantially increased in patients on whom uncomplicated cesarean sections have been performed. Anovulatory patients who conceive after treatment with gonadotropins and deliver abdominally should be referred for medical treatment before evaluation of any uterine or tubal infertility.

Original languageEnglish
Pages (from-to)869-871
Number of pages3
JournalThe Journal of reproductive medicine
Issue number10
StatePublished - 1 Oct 1998
Externally publishedYes


  • Anovulation
  • Cesarean section
  • Fertility

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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