Laparoscopic evaluation of pelvic organ in case of subfertility

Polly Ahmed, Tahmid Anam Chowdhury, Kaniz Mahmud
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2021 · vol. 10(8) , pp. 2955 · doi:10.18203/2320-1770.ijrcog20212940 · W3184458706
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study evaluated 100 subfertile women using laparoscopy, finding that 55% had normal ovaries, and identifying various ovarian, tubal, and peritoneal abnormalities contributing to infertility.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This retrospective study evaluated causes of female-factor subfertility by performing laparoscopy in 100 infertile patients at BIRDEM hospital in Bangladesh (May–October 2007). The majority had normal ovaries (55%), with other findings including cystic changes/thick capsules (20–22% depending on side), endometriosis (7%), and adhesions (8%), alongside assessments of fallopian tube patency and peritoneal status. Fallopian tubes were patent in most primary subfertility cases (about 79% right and 78% left) and a smaller proportion of secondary cases (about 56–59%), while peritoneum was normal in 78% with endometriosis noted in 8% and multiple adhesion patterns in 14%. The paper does not explicitly state key limitations such as selection criteria or reproducibility of laparoscopic diagnoses. Relevance to endometriosis: this paper includes laparoscopically diagnosed endometriosis among the observed pelvic causes of infertility, though its main focus is laparoscopy-based evaluation of female subfertility etiologies overall.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Background: Globally subfertility affects 10-15% of couple. All these people need proper evaluation and treatment. Now a days laparoscopy considered as a gold standard procedure for evaluation of pelvic organ. The aim of this study was to find out the different causes of female factor infertility with the help of laparoscopy.Methods: This retrospective study was conducted in infertility clinic of BIRDEM hospital, Dhaka, Bangladesh during the period of May, 2007 to October 2007. The study group comprised 100 cases of infertile patients.Results: In this study, among 100 patients 68% had primary and 32% had secondary infertility. In laparoscopy majority (55.0%) had normal ovary, 20.0% had cystic change with thick capsule in right ovary and 22% had in left ovary, 7.0% had endometriosis, 8.0% had adhesion, 10.0% had simple cyst in right ovary and 8% had in left ovary and rest could not be visualized. 79.4% right and 77.9% left fallopian tube patent in primary subfertility cases and 56.3% right and 59.4% left tube normal in secondary subfertility cases. Both fallopian tube patent in 62%, unilateral block 21% and bilateral block in 17% cases in this study peritoneum was normal in 78% cases, 8% cases there was endometriosis and 14% cases there was adhesion of fallopian tube with the ovary, adhesion of uterus with intestine and also with bladder.Conclusions: Laparoscopy is an important tool for diagnosing anatomical and pathological abnormalities of pelvic organ which has a major role in subfertility management.
Full text 3,254 characters · extracted from oa-doi-fallback · 5 sections · click to expand

Background

Globally subfertility affects 10-15% of couple. All these people need proper evaluation and treatment. Now a days laparoscopy considered as a gold standard procedure for evaluation of pelvic organ. The aim of this study was to find out the different causes of female factor infertility with the help of laparoscopy.

Methods

This retrospective study was conducted in infertility clinic of BIRDEM hospital, Dhaka, Bangladesh during the period of May, 2007 to October 2007. The study group comprised 100 cases of infertile patients.

Results

In this study, among 100 patients 68% had primary and 32% had secondary infertility. In laparoscopy majority (55.0%) had normal ovary, 20.0% had cystic change with thick capsule in right ovary and 22% had in left ovary, 7.0% had endometriosis, 8.0% had adhesion, 10.0% had simple cyst in right ovary and 8% had in left ovary and rest could not be visualized. 79.4% right and 77.9% left fallopian tube patent in primary subfertility cases and 56.3% right and 59.4% left tube normal in secondary subfertility cases. Both fallopian tube patent in 62%, unilateral block 21% and bilateral block in 17% cases in this study peritoneum was normal in 78% cases, 8% cases there was endometriosis and 14% cases there was adhesion of fallopian tube with the ovary, adhesion of uterus with intestine and also with bladder.

Conclusions

Laparoscopy is an important tool for diagnosing anatomical and pathological abnormalities of pelvic organ which has a major role in subfertility management. Metrics

References

Edmonds Dk. Infertility. In Dewhurst's Text book of Obstetrics and Gynaecology. 7th ed. London: Black well Science Ltd. 2007;440-60. De Cherney AH, Nathan L. Infertility. In Current Obstetrics and Oynaecology Diagnosis and Treatment: 10th ed. New York: McGiaw Hill. 2007;917-25. Dutta DC. Infertility. In Textbook of Gynaccology. 5th ed Calcutta: New centra forl book agency (P) Ltd. 2008;220-49. Jeffcoate N. Infertility and assisted reproduction technology. In: Jefcoate's Principles of Gynaecology. 7th ed. London: Amold. 2008;699-730. Sinawat S, Pattamadilok J, Seejorm K. Tubal abnormalities in Thai infertile females. J Med Assoc Thai. 2005;886:723-7. McClure EM, Goldenberg RL. Infection and stillbirth. Semin Fetal Neonatal Med. 2009;14:182-9. Chowdhury S, Chowdhury TA. Laparoscopic assessment of tubal factors in infertility. Bangladesh J Obstet Gynaecol. 1992;7(1):9-16. Collet M, Reniers J, Frost E, Gass R, Yvert F, Leclerc A et al. Infertility in Central Africa: infection is the cause. Int J Gynecol Obstetrics. 1988;26(3):423-8. Khatun H. Laparoscopic evaluation of pelvic organ. Bangladesh college Physician surgeon. 2003. Nessa M, Chowdhury T, Jahan SC, Begum ND, Sultana SE, Rumman UF et al. Laparoscopic evaluation of pelvic organ in case of infertility. Bangladesh college of Physician and surgeon. 2003;3(2):90-5. Miligos S, Protopapas A, Kallipoltis G. Drakakis P, Makrigianna KIS, Llapi A et al. Laparoscopic evaluation infertile patients with chronic pelvic pain. Reprod Biomed Onimc. 2006;12(3):347-53.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisinfertility

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (2)

References (7)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK