Laparoscopy in the management of secondary infertility

Objective:To investigate the cause of secondary infertility and evaluate the value of laparoscopy in di-agnosis and therapy of secondary infertility.Methods:The relationship between pelvic disease and secondary infertility in98female patients with laparoscopy was analyzed.Results:93cases with secondary infertility(94.9%)had pelvic diseas-es.Pelvic inflammatory disease.pelvic adhesions and endometriosis were major causes resulting in secondary infertility,approximately93.2%.The first cause of secondary infertilitywas pelvic inflammatory disease.pelvic adhesions(52.1%)and the second was endometriosis(42.8%).There were94.1%patients with pelvic inflammatory disease.pelvic adhe-sions and9.5%with endometriosis presented fallopian obstruction.Most of the patients with pelvic inflammatory disease.pelvic adhesions didn’t have history of acute process and66.6%were asymptomatic.Conclusions:Genital inflammatory disease and pelvic inflammatory disease are the important causes of secondary infertility which deserve to be drawn atten-tion.The important value of laparoscopy in diagnosis secondary infertility is that it could definite the pelvic cause and di-rect treatment.