Frequency of endometriosis found on laparoscopic examination among females with subfertility.

Erum Memon, Mahwish Sumreen, Nadia Nadia, Nazia, Huma Baloch
In: The Professional Medical Journal · 2022 · vol. 29(02) , pp. 206–211 · doi:10.29309/tpmj/2022.29.02.6542 · W4220904661
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This study found that endometriosis was diagnosed in 29.1% of subfertile females during laparoscopic examination, with Stage-4 endometriosis being the most common.

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This cross-sectional study assessed the frequency of endometriosis detected during diagnostic laparoscopy among 120 reproductive-age women with undiagnosed primary or secondary subfertility enrolled at a gynecology department in Karachi between August 2020 and January 2021, excluding women with prior abdominal surgery. Endometriosis was diagnosed laparoscopically in 29.1% of cases, with most diagnoses occurring in patients older than 30 years and most women having infertility duration of ≤3 years; stage 4 disease was reported as the most common stage (42.8%). The paper’s key limitation is that it only captures endometriosis that is found at laparoscopy and does not include women who had previous abdominal surgery, which may affect generalizability. This paper is centrally about endometriosis — it reports the frequency and laparoscopic stage distribution of endometriosis among women evaluated for subfertility.

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Abstract

Objective: To determine frequency of endometriosis and its staging found on diagnostic laparoscopy for subfertility among females. Study Design: Cross Sectional study. Setting: Department of Gynecology and Obstetrics, Jinnah Medical and Dental College and Hospital Karachi. Period: August 2020 to January 2021. Material & Methods: Total 120 female cases were enrolled into the study who were admitted in the ward for diagnostic laparoscopy to determine cause of subfertility. All female patients in reproductive age having undiagnosed primary or secondary subfertility were selected using consecutive sampling technique. Those who had previously any abdominal surgery were excluded from the study. Data was analyzed using SPSS-20 software. Results were presented in the form of frequency, percentage, and mean ± standard deviation. Results: Endometriosis was diagnosed on laparoscopy in 29.1% cases as a cause of infertility. Age range of the patients in study group was 16-45 years with mean age of 27.42 ± 2.16 years. Infertility duration was ≤3 years in majority of cases (65%). Primary infertility was present in 65.7% and secondary infertility was found in 34.3% cases in study group. Most of the patients diagnosed for endometriosis were having age > 30 years. Stage-4 endometriosis was found commonly in 42.8% cases. Conclusion: Laparoscopy is a best modality for diagnosing endometriosis and its effect on fertility in future. This facility should be available in all gynecological departments for timely diagnosing endometriosis and to treat it promptly.
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Frequency of endometriosis found on laparoscopic examination among females with subfertility. DOI: https://doi.org/10.29309/TPMJ/2022.29.02.6542Keywords: Adhesions, Chocolate Cyst, Endometriosis, Infertility, LaparoscopyAbstract Objective: To determine frequency of endometriosis and its staging found on diagnostic laparoscopy for subfertility among females. Study Design: Cross Sectional study. Setting: Department of Gynecology and Obstetrics, Jinnah Medical and Dental College and Hospital Karachi. Period: August 2020 to January 2021. Material & Methods: Total 120 female cases were enrolled into the study who were admitted in the ward for diagnostic laparoscopy to determine cause of subfertility. All female patients in reproductive age having undiagnosed primary or secondary subfertility were selected using consecutive sampling technique. Those who had previously any abdominal surgery were excluded from the study. Data was analyzed using SPSS-20 software. Results were presented in the form of frequency, percentage, and mean ± standard deviation. Results: Endometriosis was diagnosed on laparoscopy in 29.1% cases as a cause of infertility. Age range of the patients in study group was 16-45 years with mean age of 27.42 ± 2.16 years. Infertility duration was ≤3 years in majority of cases (65%). Primary infertility was present in 65.7% and secondary infertility was found in 34.3% cases in study group. Most of the patients diagnosed for endometriosis were having age > 30 years. Stage-4 endometriosis was found commonly in 42.8% cases. Conclusion: Laparoscopy is a best modality for diagnosing endometriosis and its effect on fertility in future. This facility should be available in all gynecological departments for timely diagnosing endometriosis and to treat it promptly. Downloads Published Issue Section License Copyright (c) 2021 The Professional Medical Journal This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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endometriosisinfertility

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