DIAGNOSTIC LAPAROSCOPY FOR INFERTILITY; AN ACCURATE TECHNIQUE FOR EVALUATION

Bilqees Ara, Zaibunnisa, Firdous Ara, Asalm Baloch
In: THE PROFESSIONAL MEDICAL JOURNAL · 2016 · vol. 23(08) , pp. 1005–1009 · doi:10.17957/tpmj/16.3458 · W2513786141
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Diagnostic laparoscopy in 35 infertile women identified pelvic tuberculosis as the most common pathology, followed by endometriosis, pelvic inflammatory disease, and adhesions.

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This prospective observational study evaluated the diagnostic utility of laparoscopy in identifying causes of infertility among 35 patients aged 16 to 46 years. The researchers found that pelvic tuberculosis was the most common pathology detected, followed by endometriosis, which was identified in 8.6% of cases, alongside other conditions like pelvic inflammatory disease and adhesions. Although the majority of patients were asymptomatic, specific symptoms such as irregular cycles and dysmenorrhea were noted, and no major complications arose from the procedure. Relevance to endometriosis: listed as one of the pathological findings detected via laparoscopy in infertile women, though the paper's main focus is on a broad evaluation of infertility causes including tuberculosis.

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Abstract

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.
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Objective

To assess the causes of infertility by laparoscopy. Study design: Observational study. (Prospective). Place & Duration of study: Imdad hospital & Mahnaz Laparoscopy Center, Quetta from 1st Jan 2013 to 31st Dec 2013. Methodology: All the infertile patients either with primary or secondary infertility was included after thorough evaluation. Diagnostic laparoscopy was done on these patients. Different causes were seen like tubal blockage, 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 46 years. 19 (54.3%) patients comprised primary infertility and 16 (45.7%) patients had secondary infertility because of tuberculosis (TB), pelvic inflammatory disease, endometriosis, polycystic ovaries and previous surgery. 37.1% were asymptomatic, while irregular cycles, discharge and 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 pelvic tuberculosis 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, Pelvic inflammatory disease and adhesions.

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endometriosisdysmenorrheainfertility

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