The Study of Laparoscopic Finding in Infertility Cases
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2019, Vol 7, Issue 3
Abstract
Introduction: One of the most important and under appreciated reproductive health problems in developing countries is the high rate of infertility and childlessness. The inability to procreate is frequently considered a personal tragedy and a curse for the couple, impacting on the entire family and even the local community. Negative psychosocial consequences of childlessness are common and often severe. About 20% of all patients diagnosed with polycystic ovarian syndrome (PCOS) and infertility, will not ovulate after ovulation induction treatment with clomiphene citrate. Even today, the effective treatment of clomiphene resistant PCOS remains a challenge for the medical profession. Aim & Objective: Study of laparoscopic evaluation in infertility cases at Panna Dhai Mahila Chikitsalaya, Udaipur. Material and Methods: Total 100 cases randomly selected attending OBG OPD with both primary and secondary infertility were studied. After taking detailed history, thorough clinical examination, investigations and informed consent diagnostic laparoscopy was done between 7th to 11th day of menses under GA. Patient was discharged on the 2th postoperative day according to her general condition and was followed on 5th postoperative day for stitches removal. Results: 62 cases were primary infertility and 38 cases were of secondary infertility. Pelvic ultrasonography was normal in 54 women. 77% of the women reproductive pathology was noted on laparoscopy. 23% women had normal study. In 25% of the women reproductive pathology was freshly detected by laparoscopy, which was missed by other modalities like clinical examination and ultrasound. 20 women conceived during the period of study. Among these 13 (22.14%) women had undergone concurrent therapeutic interventions at laparoscopy conceived during follow-up. 8 conceived spontaneously, 4 women who had polycystic ovaries had undergone ovarian drilling conceived after ovulation induction. One woman conceived with GnRH agonist. 6 women conceived with ovulation induction in subsequent cycles and one woman with unilateral tubal block conceived after hydrotubation in subsequent cycles. Conclusion: Most effective treatment decisions and interventions can be made in the light of laparoscopic findings in managing infertility. Though laparoscopy is invasive the complications associated with the procedure can be minimized with proper training.
Authors and Affiliations
Sangeeta Sen
Keywords
Related Articles
- EP ID EP642917
- DOI 10.21088/ijog.2321.1636.7319.6
- Views 99
- Downloads 0
A Study to Assess the Effectiveness of Lamaze Breathing on Labor Pain and Anxiety Towards Labor Outcome among Primigravida Mothers During Labor in Community Health Center, Kolar Road, Bhopal (M.P.)
Context: Assessing the effect of Lamaze breathing on labor pain in primigravida mothers. Settings and Design: The study was conducted at Community Health center, kolar road, Bhopal (M.P.). The primigravida mothers who we...
Low Dose Magnesium Sulphate for Management of Eclampsia, Preeclamisa: An Evidence Based Alternative to Pritchard Regime
Background: To evaluate the efficacy of low dose MgSO4 Regime in management of eclampsia and comparing it with Pritchard Regime regarding control of convulsions, Serum Magnesium levels, Maternal and perinatal outcome. Me...
A Study on Maternal and Perinatal Outcome in Early, Full and Late Term Pregnancies
Aims and Objective: The objective of this study was to analyze the maternal and perinatal outcomes in low risk early, full and late term pregnancies. Study design: A retrospective cohort study of low risk women at term p...
Pseudomyxomatous Peritonei
Pseudomyxomatous peritonei is a clinical condition caused by cancerous cells (mucinous adenocarcinoma) that produce abundant mucin or gelatinous ascites. The tumors cause fibrosis of tissues and impede digestion or organ...
To Study Feto-Maternal outcome in Relation to O’Sullivan Results
Background: Aim is to study occurance of various adverse feto-maternal outcome in pregnant women having abnormal O’Sullivan results. Materials and Methods: 75 gm of oral glucose ingestion by pregnant women at the tim...