Laparoscopic Evaluation of Female Infertility
Journal Title: International Journal of Medical and Health Sciences - Year 2014, Vol 3, Issue 3
Abstract
Objectives: To evaluate the causes of female factors both in primary and secondary infertility with diagnostic laparoscopy. Materials and Methods: One hundred women with both primary and secondary infertility were selected for laparoscopic evaluation. This observational study was conducted from March 2013 to February 2014. Apart from complete history and detailed examination, all baseline investigations were performed as per our institutional protocol for pre-anaesthetic checkup. Laparoscopy was done in proliferative phase of menstrual cycle and by doing chromopertubation with methylene blue dye, tubal patency was tested. With predesigned proforma, all data were collected. Results: Out of 100 women, 78 had primary infertility and 22 had secondary infertility. During laparoscopy no pelvic pathology was detected in 15.38% of primary infertility and 18.18% in secondary infertility. Single pelvic abnormality detected among total infertility was 78.57% and it was mostly seen in primary infertility than secondary infertility. The commonest finding by laparoscopy was tubal occlusion in both the groups followed by polycystic ovaries, endometriotic deposits, peritubal and periovarian adhesion, pelvic inflammatory disease (PID), genital tuberculosis, ovarian cyst and fibroid. Ovarian findings were significantly high in primary infertility while tubal occlusion followed by peritubal and periovarian adhesion was mostly seen in secondary infertility women. Conclusion: Laparoscopy is a very effective tool for evaluation of female infertility and it should be consider in infertility workup for early treatment decision.
Authors and Affiliations
Bhabani Pegu, Bhanu Pratap Singh Gaur,Nalini Sharma, Ahanthem Santa Singh
Keywords
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