OUTCOME OF PREGNANCY AFTER LAPAROSCOPY AND CHROMOTUBATION DURING CYCLES OF CONCEPTION - A REPORT OF 3 CASES

Background: Diagnostic tubal patency procedures may displace an early pregnancy. Hysterosalpingography performed in the presence of an unrec ognized pregnancy has been reported to result in an ectopic pregnancy. No such information on laparoscopy performed during a cycle of concep tion has been reported. Cases: Three cases of laparoscopy were perform ed during the luteal phase of an unrecognized pregnancy cycle. The thr ee patients were counseled to avoid conception before surgery. All had an undetectable serum hCG level within 3 days of surgery and an undet ectable urine hCG level on the day of surgery. The three pregnancies h ad an uneventful prenatal course, with delivery at term. Conclusion: A lthough follicular phase scheduling of tubal patency tests would avoid potential pregnancy complications, the risk from luteal phase laparos copy and chromotubation to an unrecognized pregnancy may be less than expected.