Diagnostic and therapeutic role of laparoscopy in the Current Fertility Practice

Rooh E Zakaria, Farhana Dewan, Zobaida Sultana Susan, Afroza Ghani
In: Journal of Shaheed Suhrawardy Medical College · 2017 · vol. 7(2) , pp. 73–75 · doi:10.3329/jssmc.v7i2.31475 · W2592478258
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This study investigated the diagnostic and therapeutic role of laparoscopy in infertile women, finding it useful for diagnosing and treating conditions like PCOS, endometriosis, and PID.

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This prospective study evaluated the diagnostic and therapeutic utility of laparoscopy in fifty women presenting with primary or secondary subfertility. The researchers identified various underlying causes, including polycystic ovarian disease, pelvic inflammatory disease, and varying stages of endometriosis, while noting that surgical interventions were performed for nearly all cases. A key finding highlighted that treating minimal to mild endometriosis surgically increased spontaneous pregnancy rates among these infertile patients. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Background: Laparoscopy is perceived as a minimally invasive surgical technique that both provides a panoramic & magnified view of the pelvic organs and allows surgery at the time of diagnosis. Laparoscopy has became an integral part of gynaecologic surgery for the diagnosis and treatment of abdominal and pelvic disorders of the Female reproductive organs. Endoscopic reproductive surgery intended to improve fertility many includes surgery of the uterus, ovaries, pelvic peritoneum and the fallopian tubes. Aim: To determine the best treatment for infertility.Method: The prospective study was carried out among the infertile women during the period of July 2014 to December 2014, in Shaheed Suhrawardi Medical College Hospital. Fifty women identified with Infertility both primary and secondary with the criteria of menstrual cycles with duration of 25-45 days were selected. Semen analysis was considered to be normal.Result: Fifty women underwent diagnostic & therapeutic laparoscopy between the period of July 2014 to December 2014. Among them 20 suffered from primary subfertility & 30 from secondary subfertility. In primary subfertility 12 patients were diagnosed as poiycystic ovarian disease & 7 patients diagnosed as minimal to moderate endometriosis 1 patient diagnosed as pelvic inflammatory disease. In secondary subfertility 15 patients diagnosed as pelvic inflammatory disease, 12 patients with endometriosis & 03 patients as poiycystic ovarian disease. Therapeutic intervention were done in almost all cases of subfertility.Conclusion: The routine use of diagnostic laparoscopy for the evaluation of all case of female infertility is currently under debate. Current evidence indicates that the surgical treatment of minimal or mild endometriosis increase the spontaneous pregnancy rate in Infertility womenJ Shaheed Suhrawardy Med Coll, December 2015, Vol.7(2); 73-75
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Keywords

Subfertility, Endometroisis, Pelvic inflammatory disease, Poiycystic ovarian diseaseAbstract

Background

Laparoscopy is perceived as a minimally invasive surgical technique that both provides a panoramic & magnified view of the pelvic organs and allows surgery at the time of diagnosis. Laparoscopy has became an integral part of gynaecologic surgery for the diagnosis and treatment of abdominal and pelvic disorders of the Female reproductive organs. Endoscopic reproductive surgery intended to improve fertility many includes surgery of the uterus, ovaries, pelvic peritoneum and the fallopian tubes. Aim: To determine the best treatment for infertility.

Method

The prospective study was carried out among the infertile women during the period of July 2014 to December 2014, in Shaheed Suhrawardi Medical College Hospital. Fifty women identified with Infertility both primary and secondary with the criteria of menstrual cycles with duration of 25-45 days were selected. Semen analysis was considered to be normal.

Result

Fifty women underwent diagnostic & therapeutic laparoscopy between the period of July 2014 to December 2014. Among them 20 suffered from primary subfertility & 30 from secondary subfertility. In primary subfertility 12 patients were diagnosed as poiycystic ovarian disease & 7 patients diagnosed as minimal to moderate endometriosis 1 patient diagnosed as pelvic inflammatory disease. In secondary subfertility 15 patients diagnosed as pelvic inflammatory disease, 12 patients with endometriosis & 03 patients as poiycystic ovarian disease. Therapeutic intervention were done in almost all cases of subfertility.

Conclusion

The routine use of diagnostic laparoscopy for the evaluation of all case of female infertility is currently under debate. Current evidence indicates that the surgical treatment of minimal or mild endometriosis increase the spontaneous pregnancy rate in Infertility women J Shaheed Suhrawardy Med Coll, December 2015, Vol.7(2); 73-75 163 238

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Condition tags

endometriosisinfertility

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