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 91
- Downloads 0
Spectrum of Gynaecological Laparoscopic Surgeries in Rural India: A Retrospective Study
Background: Today, laparoscopy is one of the most common surgical procedures performed by gynaecologists because of being safe and minimally invasive. Short hospital stay, reduced morbidity, quick mobilization and comfor...
Abruptio Placentae and Perinatal Outcome
Introduction: Acute cases of Abruptio Placentae results in intrauterine death and stillborn baby, while chronic abruption results in intrauterine growth restriction, low birth weight and preterm labour and perinatal deat...
Role of Low Dose Mifepristone on Uterine Leiomyoma in Reproductive Age Group: A Prospective Study
Aim: To study the effect of low dose mifepristone on the leiomyoma volume reduction, leiomyoma-related symptoms and endocrinal profile in patients with symptomatic leiomyoma. Setting: Tertiary care hospital Material and...
Role of Colour Doppler in Intra Uterine Growth Retardation and Its Managemen
Intra uterine growth retardation (IUGR) due to fetoplacental vascular insufficiency is rampant in developing countries like India. Owing to the lack of awareness, antenatal patients often present in their third trimester...
Post Sterilization Tuboplasty: Boon or Bain
India is developing country, yet the development is less in the medical sector. Though the awareness of tubal ligation is vividly present in the rural set up, pressure on females are increasing due to preference of male...