A randomized study in 2013 came to the result that the rates of intrauterine pregnancy two years after treatment of ectopic pregnancy are approximately 64% with radical surgery, 67% with medication, and 70% with conservative surgery. In comparison, the cumulative pregnancy rate of women under 40 years of age in the general population over two years is over 90%. Hydrosalpinx is the most frequent. This happens when there is a presence of fluid on the tubes. We have some ways to test it: Hysterosalphingography, in which we can see both the uterus (Hystero) and the tubes. Hysterosonosalphingography, in which we see only the uterus. This tests are used to check if the tubes are permeable or if   there is any obstacle in the path to the uterus. We have to introduce a liquid contrast via vagina, and we check its path via x-ray. If the tube is blocked, the contrast liquid will be stopped in the tubes, but if its not blocked, it will end in the abdominal cavity. The flow of this contrast needs peristaltic movements. This blockage can be produced by sexually transmitted diseases, previous surgery, peritonitis or endometriosis. Uterine factors
Uterine malformations
Uterine fibroids
Ashermans syndrome
Implantation failure without any known primary cause. It results in negative pregnancy test despite having performed e.g. embryo transfer.Previously, a bicornuate uterus was thought to be associated with infertility, but recent studies have not confirmed such an association. Cervical factors
Cervical stenosis
Antisperm antibodies
Non-receptive cervical mucus

Vaginal factors
Vaginismus
Vaginal obstruction

Interrupted meiosis
Meiosis.
The discrepancies in the practitioners’ knowledge, family resources, and differences in patients culture and/or residency have played a part in the outcome of the patient. Prognosis
DSMA1 is usually fatal in early childhood. The patient, normally a child, suffers a progressive degradation of the respiratory system until respiratory failure. There is no consensus on the life expectancy in DSMA1 despite a number of studies being conducted. A small number of patients survive past two years of age but they lack signs of diaphragmatic paralysis or their breathing is dependent on a ventilation system. Research directions
The disease has only been identified as distinct from SMA recently, so research is still experimental, taking place mostly in animal models. Several therapy pathways have been devised which include gene therapy, whereby an IGHMBP2 transgene is delivered to the cell using a viral vector, and small-molecule drugs like growth factors (e.g., IGF-1 and VEGF) or olesoxime. Studies in amyotrophic lateral sclerosis are also considered helpful because the condition is relatively similar to DSMA1. See also
Distal hereditary motor neuropathies
Spinal muscular atrophies
Spinal muscular atrophy

References
Further reading


== External links ==