Laparoscopic evaluation in infertility

Talat Naz; Lubna Hassan; Gulmeen; Farrah Nighat; Shahida Sultan

Author(s)

Talat Naz Department of Obstetrics and Gynaecology, PGMI/Hayatabad Medical Complex, Peshawar, Pakistan.

Lubna Hassan Department of Obstetrics and Gynaecology, PGMI/Hayatabad Medical Complex, Peshawar, Pakistan.

Gulmeen Department of Obstetrics and Gynaecology, PGMI/Hayatabad Medical Complex, Peshawar, Pakistan.

Farrah Nighat Department of Obstetrics and Gynaecology, PGMI/Hayatabad Medical Complex, Peshawar, Pakistan.

Shahida Sultan Department of Obstetrics and Gynaecology, PGMI/Hayatabad Medical Complex, Peshawar, Pakistan.

Abstract

Objective: To describe the different causes of infertility based on findings of diagnostic laparoscopy and their comparative frequency in primary and secondary infertility. Study Design: A cross-sectional study. Place and Duration of Study: Obstetrics and Gynaecology Unit of Hayatabad Medical Complex, Peshawar, from January to December 2005. Methodology: All patients undergoing diagnostic laparoscopy for primary or secondary infertility were included. Male factor infertility cases was excluded. Frequency of the causes and finding was determined. Results: One hundred and thirty six (70.46%) patients with primary and 57 (29.54%) with secondary infertility underwent diagnostic laparoscopy. Seventy (51.47%) with primary and 26 (45.51%) with secondary infertility had no visible abnormality. Bilateral tubal blockage was found in 32 (23.53%) primary and 16 (28.07%) cases of secondary infertility. Dense pelvic adhesions forming adnexal mass were found in 9 (6.61%) and 6 (10.5%) of primary and secondary respectively. Two cases each of bicornuate uterus and double uterus in primary infertility patients. Ovarian pathology was found in 18 (13.23%) primary and 4 (7.01%) cases of secondary infertility. PCO (polycystic ovaries) were detected in 12 (8.82%) and 2 (3.5%) cases of primary and secondary infertility respectively. Endometriotic cysts and deposits were found in 15 (10.29%) cases of primary and 3 (5.26%) cases of secondary infertility. Conclusion: Tubal disease is a common factor responsible for infertility and diagnositc laparoscopy is a valuable technique for complete assessment of female infertility and making treatment decisions according to the cause.

Publication Details

Page(s) 704-707

DOI DOI not available

Published Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 19, Issue: 11, Year: 2009

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Keywords

Causes, Infertility, Adnexal mass, Infertility, Diagnostic laparoscopy, Tubal block, Polycystic ovary, Uterine malformation