Usefulness of double-puncture laparoscopy in the infertility work-up.

This retrospective study confirms that laparoscopy should be performed early in the infertility investigation when pelvic pathology is suspected. If performed, the procedure should be via the double-puncture technique. Otherwise, it should be done when the rest of the tests have proven to be within normal limits and there is only the possibility of peritoneal involvement (i.e., pelvic adhesions or pelvic endometriosis). Our impression is that the single-puncture technique seriously compromises the physician's ability to assess pelvic pathology adequately.