DIAGNOSTIC LAPAROSCOPY FOR INFERTILITY

Bilqees Ara, Miss Zaibunnisa, Firdous Ara, Aslam Baloch
In: The Professional Medical Journal · 2016 · vol. 23(08) , pp. 1005–1009 · doi:10.29309/tpmj/2016.23.08.1678 · W2550146032
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This observational study used diagnostic laparoscopy to identify causes of infertility in 35 women, finding pelvic tuberculosis to be the most common pathology, followed by endometriosis, pelvic inflammatory disease, and adhesions.

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This prospective observational study assessed causes of infertility in 35 women aged 16–46 by performing diagnostic laparoscopy at Imdad Hospital and Mahnaz Laparoscopy Center in Quetta from 1 January to 31 December 2013, after thorough clinical evaluation. The most frequently identified pathology was pelvic tuberculosis, followed by endometriosis, pelvic inflammatory disease, and pelvic adhesions, with normal laparoscopy findings in 8.6% of women; bilateral tubal blockage was more common than unilateral blockage. The paper reports that 37.1% of participants were asymptomatic and that few complications occurred aside from nausea, vomiting, pain, and mild fever, but it does not provide detailed selection criteria beyond inclusion of primary and secondary infertility. This paper centrally about endometriosis — endometriosis was identified as one of the leading laparoscopic causes of infertility in the study population.

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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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