Role of Diagnostic Laparoscopy in Cases with Female Infertility
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 8
Abstract
Introduction: Infertility can be defined as failure to conceive despite unprotected sexual intercourse for 1 year regardless of the cause of such a failure. The infertility may be caused due to male or female factors. In some instances, both male and female factors may be responsible. In approximately 15% cases no responsible factor can be identified despite extensive investigations and such infertility is then labelled as “unexplained infertility”. Role of diagnostic laparoscopy in evaluation of infertility is important in diagnosis of uterine, tubular and peritoneal causes of infertility. Materials and Methods: This was a prospective study of women attending the infertility center of our tertiary care obstetric hospital situated in an urban area. Total 60 women with infertility were included in this study on the basis of a predefined inclusion and exclusion criteria. A detailed history, Clinical examination, per speculum and per vaginal examination was done in all the cases. Investigations such as ultrasound and hysterosalpingography was also done. Laparoscopic evaluation was done in 22 (36.67%) selected patients. Data was analyzed using Minitab 17 version. For statistical purpose P value less than 0.005 was taken as significant. Results: Mean Age of the studied cases was found to be 29.38+/- 4.49 years. Primary and secondary infertility was seen in 71.67%and 28.33% patients respectively. 20 patients (33.33%) had menstrual irregularities in addition to infertility, while chronic abdominal pain and vaginal discharge was present in 4 (6.66%). 4 (6.66%) patients had dyspareunia in addition to infertility. Out of the 22 (36.67%) cases in whom laparoscopy was done the most common cause of infertility was found to be endometriosis which was seen in 12 (20%) cases. Peritubal blockages, hydrosalpinx and other tubal abnormalities were found in 8 (13.33%) cases. In remaining 2 (3.33%) patients no abnormality was detected on laparoscopy. Conclusion: Laparoscopic evaluation of the women presenting with primary as well as secondary infertility may be helpful in identifying uterine, peritubal and peritoneal causes of infertility and should be done before labelling the infertility to be “unexplained”.
Authors and Affiliations
Chetana A Gopchade
Keywords
Related Articles
- EP ID EP518462
- DOI -
- Views 53
- Downloads 0
Role of Neurosonogram in Evaluation of Brain Injuries in Preterm Babies
Background and Objectives: Neuro developmental abnormalities was very common in premature neonates due to incomplete development of the central nervous system. Neurosonogram is a sensitive tool for detecting these abnorm...
Seroprevalence of Toxoplasma Gondii among Pregnant Women Having Bad Obstetric History in a Tertiary Care Hospital of Eastern Odisha
Introduction: Toxoplasma gondii infection is a major risk factor in women having bad obstetric history. If vertically transmitted it can result in adverse pregnancy out comes ranging from abortion to congenital anomalies...
Study of Renal Parameters in Preeclampsia
Preeclampsia is a pregnancy specific syndrome of reduced organ perfusion secondary to vasospasm and endothelial activation. In this study the renal parameters of preeclamptic patients were compared with normal pregnant l...
Clinical Study of Visual out Come of Lens Induced Glaucomas
During the period of september 2012 to october 2013, we selected 100 patient of lamp induced glaucomas, to study the visual outcome after temporay management medically followed by surgery and weekly follow up. This study...
Efficacy of Myofascial Release Technique in Comparison with Passive Stretching in Reducing Spasticity in children with Cerebral Palsy*
Background: Spasticity is a common pathological manifestation seen in children with Cerebral palsy. Ankle impairments are closely associated with functional limitations in children with cerebral palsy (CP). As a pattern...