Infertility, Female, Pelvic Floor Disorders, Pelvic Organ Prolapse
Conditions
Keywords
Pelvic organ prolapse, Infertility, Apical pelvic support
Brief summary
This study aims to evaluate apical pelvic compartment support in infertility patients at the time of hysteroscopy. Apical pelvic compartment evaluation for pelvic organ prolapse will be performed in infertility patients undergoing hysteroscopy.
Detailed description
The incidence of pelvic organ prolapse in the whole population has been demonstrated several times in previous studies. However, pelvic floor defects in young infertility patients are not known. In this study, a clinical pelvic floor assessment with the pelvic organ quantification system will be performed in infertility patients during standard physical examinations or hysteroscopy.
Interventions
The Pelvic Organ Prolapse Quantification system assessment tool measures nine anatomical points and distances in the vagina. The hymen is the reference point to which the other points are compared. The prolapsed organs are measured in centimeters to the hymen with an examination ruler.
Sponsors
Study design
Eligibility
Inclusion criteria
* Ages between 18-45 * Patients who cannot become pregnant despite regular sexual intercourse for more than one year
Exclusion criteria
* Malignity * Patients who become pregnant during infertility assessment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stages of the pelvic organ prolapse | 2 minutes | Once the measurements are taken, the infertility patients are assigned to the corresponding POP-Q stage. Stage-0 is no prolapse. Stage-1 stands for the most distal portion of the prolapse is more than 1 cm above the level of the hymen. Stage-2 stands for the most distal prolapse is between 1 cm above and 1 cm below the hymen (at least one point is -1, 0, or +1). Stage-3: The most distal prolapse is more than 1 cm below the hymen but no further than 2 cm less than total vaginal length. Stage-4 stands for the complete vaginal eversion. |
Countries
Turkey (Türkiye)