DIAGNOSTIC LAPAROSCOPY FOR INFERTILITY; AN ACCURATE TECHNIQUE FOR EVALUATION

Objective: To assess the causes of infertility by laparoscopy. Study design:Observational study. (Prospective). Place & Duration of study: Imdad hospital & MahnazLaparoscopy Center, Quetta from 1st Jan 2013 to 31st Dec 2013. Methodology: All the infertilepatients either with primary or secondary infertility was included after thorough evaluation.Diagnostic laparoscopy was done on these patients. Different causes were seen like tubalblockage, T.B, Endometriosis, adhesion of previous abdominal surgery, polycystic ovaries.Results: The study group consisted of 35 cases of infertile patients’ aged between 16 to 46years. 19 (54.3%) patients comprised primary infertility and 16 (45.7%) patients had secondaryinfertility because of tuberculosis (TB), pelvic inflammatory disease, endometriosis, polycysticovaries and previous surgery. 37.1% were asymptomatic, while irregular cycles, dischargeand dysmenorrhea were common symptoms Normal findings were in 3(8.6%) women.8.5% had unilateral blockage and 14.3% had bilateral blockage. 22.9% (8) cases had pelvictuberculosis and endometriosis was found in 3(8.6%) patients.11.4% (4) had pelvic adhesions.No major complication occurred except nausea, vomiting, pain and mild fever. Conclusion:Pelvic tuberculosis was most common pathology detected followed by Endometriosis, Pelvicinflammatory disease and adhesions.