Pre-conception Risk Assessment: Gynaecological Problems

  • Tülay KarasuEmail author
  • Mostafa Metwally


Infertility has increased in Western societies; one in six couples will encounter problems with fertility. Infertility is defined as failure to achieve a clinical pregnancy after regular intercourse for 12 months. Women are delaying childbearing due to life style changes like completing higher education, following a career and seeking for financial independence. Increasingly, infertile couples are using assisted reproductive technology (ART) in order to achieve a pregnancy. This chapter aims to cover gynaecological pathologies like fibroids, polyps, uterine anomalies, endometriosis, adenomyosis and hydrosalpinx which can adversely influence reproductive outcome. Furthermore, the pathology, effect on fertility and pregnancy and evidence based management of those gynaecological conditions are described here.


Fibroids Endometrial polyp Congenital uterine anomalies Intrauterine adhesions Endometriosis Adenomyosis Hydrosalpinx Fertility Pregnancy 


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Jessop FertilitySheffield Teaching HospitalSheffieldUK
  2. 2.Department of Obstetrics and GynaecologyThe Jessop Wing and Royal Hallamshire HospitalSheffieldUK

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