Laparoscopic evaluation and prevalence of endometriosis among infertile women: a prospective study

Sana Sharfuddin, Md Nazar Imam, Anup Pradhan
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2020 · vol. 9(5) , pp. 1914 · doi:10.18203/2320-1770.ijrcog20201779 · W3022032072
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This prospective study found endometriosis in 11.5% of infertile women, with the ovaries most commonly affected, and laparoscopic interventions showed good pregnancy outcomes.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This prospective study evaluated infertile women undergoing diagnostic laparoscopy, with detailed symptom and infertility history recorded and laparoscopic treatment (adhesiolysis, excision, or ablation of endometriotic lesions) performed based on lesion location and severity; follow-up included documenting successful pregnancies achieved spontaneously or after assisted reproductive techniques. Among 200 cases, endometriosis was diagnosed in 23 women (11.5%), most commonly in ages 26–30 years, with primary infertility in 78.26% and secondary infertility in 21.74%. The ovaries were reported as the most common site, and procedures included cystectomy (30.43%), endometrioma drainage/fulguration (13.04%), and adhesiolysis (34.78%), with 66.66% of women who had successful ovulation after intervention completing pregnancy. The paper does not explicitly state a major comparative limitation such as a control group, but it focuses on prevalence and outcomes within this treated, laparoscopy-assessed infertile cohort. This paper is centrally about endometriosis — it reports laparoscopic prevalence among infertile women and describes laparoscopic diagnostic and therapeutic outcomes.

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Abstract

Background: Endometriosis can be defined as presence of endometrial mucosa outside the uterine cavity. There are no specific signs and symptoms of endometriosis and the presentation may vary depending upon the site of involvement. It is one of the common causes of subfertility and infertility in young women. The Management of endometriosis may include medical as well as surgical intervention. Laparoscopic interventions have found to have encouraging results in terms of increasing chances of fertility in young women with endometriosis.Methods: This was a prospective study in which women who had infertility and subsequently diagnosed to be having endometriosis were included. A detailed history was taken with particular emphasis on duration of symptoms, presence of additional co-morbidities and duration of infertility was recorded. Diagnostic laparoscopy was done in all the cases. Depending upon location and severity of endometriosis adhesiolysis, excision and ablation of endometrial lesions was done. Patients were followed up and successful pregnancies (spontaneous as well as secondary to assisted reproductive techniques) were recorded.Results: Out of 200 studied cases endometriosis was seen in 23 (11.5%) patients. the most common affected age group was between 26-30 years (47.83%). 18 patients (78.26%) had primary infertility whereas remaining 5 patients (21.74%) were found to have secondary infertility. The most common site was found to be ovaries which was found to be involved in all the cases. cystectomy (30.43%), endometrioma drainage and fulguration (13.04%) or adhesiolysis (34.78%) were the commonly done surgical interventions in cases. out of 18 patients who had successful ovulation following laparoscopic intervention 12 (66.66%) patients completed their pregnancies successfully.Conclusions: Laparoscopic interventions in patients with infertility have diagnostic as well as therapeutic value and are found to have good outcome in terms of successful pregnancy.

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endometriosisendometriomainfertility

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