Laparoscopy: the tool for infertility

Most of the healthy couples conceive within a year after marriage. The infertility patients have become important part of clinical practice. Diagnostic and therapeutic Laparoscopy plays major role in the management of these cases. We investigated hale 50 infertile women with laparoscopy. This study was undertaken to ascertain the diagnostic and therapeutic role of Laparoscopy in female infertility.

We evaluated 50 couples having infertility. The cases of primary and secondary infertility were evaluated. The laparoscopy was done under general anaesthesia. The pelvic organs were examined, and tubal patency was tested with chromo-perturbation by using Methylene blue dye. The findings were noted. The therapeutic intervention was done in the cases where it was necessary.

Total 50 cases of infertility were studied. Thirty were of primary infertility and 20 were of secondary infertility. The patients with primary infertility were younger with mean age of 20 years. The duration of infertility ranged from 1.5 to 8 years. We detected total 21 (42%) patients with ovarian pathology, 5 (10%) with tubal, four (8%) with peritoneal factor 3 (6%) with endometriosis. One patient had uterine fibroid and 16 (32%) cases had normal laparoscopic findings.

This study supported the diagnostic and therapeutic value of laparoscopy in managing infertile women. It helped in detection of pelvic pathology. It also helped to plan further management in the form of IUI or IVF. Metrics

Speroff L, Marc AF. Female Infertility. Clinical Gynecologic Endocrinology and Infertility. 7th ed. Lippicott Williams and Wilkins; 2005:1013-1068. Sakar MN, Gul T, Atay AE, Celik Y. Comparison of hysterosalpingography and laparoscopy in the evaluation of infertile women. Saudi Med J. 2008;29(9):1315-8. Boudhraa K, Jellouli MA, Kassaoui O, Ben AN, Ouerhani R, Triki A, et al. Role of the hysteroscopy and laparoscopy in management of the female infertility: about 200 cases. La Tunisie Medicale. 2009;87(1):55-60. Farquhar C, Lilford RJ, Marjoribanks J, Vandekerckhove P. Laparoscopic 'drilling' by diathermy or laser for ovulation induction in anovulatory polycystic ovary syndrome. Cochrane Database Syst Rev. 2007;(3):CD001122. Boricha YG, Sharma RK, Boricha BG, Mhapankar S, Chaterjee A, Narshetty J. Laparoscopy in 50 infertile couples: prospective study. Int J Med Clin Res. 2011;2:63-6. Sailatha R, Sathiya S, Famida AM, Vijayalakshmi K, Renuka S, Misha P. Role of laparoscopy in investigation of female infertility: a retrospective study of 50 cases. J Evolution Med Dental Sci. 2014;3(28):7795-800. Kanal P, Sharma S. Study of primary infertility in females by diagnostic laparoscopy. Internet J Med Update. 2006 July-Dec;1(2):7-9. Farhi J, Soule S, Jacobs HS. Effect of laparoscopic ovarian electrocautery on ovarian response and outcome of treatment with gonadotropins in clomiphene citrate-resistant patients with polycystic ovary syndrome. Fertility and sterility. 1995;64(5):930-5. Al-Ojain EH. Laparoscopic ovarian drilling for polycystic ovarian syndrome in Clomiphene citrate-resistant women with anovulatory infertility. Bahrain Medical Bulletin. 2003;25(2):58-63. Garry R, Clayton R. Hawe J. The effect of endometriosis and its radical laparoscopic excision on quality of life indicators. Br J Obstet Gynaceol. 2000;107(1):44-5. Talib W, Ikram M, Hafeez M, Saeed M. Infertile female; laparoscopic evaluation. Prof Med J. 2007;14(4):562-6.