Laparoscopic Evaluation of Female Infertility
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 2
Abstract
Background: Infertility, one of the most common disorders confronting gynecologists, has multifactorial etiology and none of the laboratory findings alone is conclusive in diagnosis. Laparoscopy helps in finding the etiology and planning further management. Objectives: The objectives of this study were to study the role of diagnostic laparoscopy in evaluation of female infertility and analyze the comparative frequencies of different etiologies in primary and secondary infertility. Methodology: A total of 60 infertile patients underwent diagnostic laparoscopy after basic infertility work up in the Department of Gynaecology and Obstetrics, Government Medical College, Srinagar, from April 2013 to September 2014. Frequencies were calculated for laparoscopic findings regarding primary and secondary infertility. Results:Of the 60 infertile patients, 41 (68.33%) had primary and 19 (31.67%) had secondary infertility. Mean duration of infertility was 4.08 years in primary and 5.15 years in secondary infertility. Of the secondary infertility patients, 47% had previous history of abortion. On laparoscopy, the most common finding was tubal blockade accounting for 26.8%, 57.9%, and 36.7% of primary, secondary, and total infertility patients, respectively. The difference in tubal factors in primary and secondary infertility was statistically significant (P < 0.02). Ovarian factors contributed to 24.5%, 15.9%, and 21.7% of primary, secondary, and total infertility patients, respectively. Uterine factors were implicated in 17%, 10.5%, and 15% of primary, secondary, and total infertility patients, respectively. Peritoneal factors were implicated in 22%, 5.2%, and 16.7% of primary, secondary, and total infertility patients, respectively. No cause was found in 9.7%, 10.5%, and 10% of primary, secondary, and total infertility patients, respectively, which were included in unexplained infertility. Conclusion: Laparoscopy plays a valuable role in the complete evaluation of infertility. It helps to find those causes which are unrevealed by other investigations and thus helps to guide appropriate therapy.
Authors and Affiliations
Syeed Masuma Rizvi, Shaheera Ajaz, Farhat Ali, Shazia Rashid, Tashaffi Qayoom, Lubna Rashid
Keywords
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