Evaluation of cases of infertility by diagnostic laparoscopy

Sachin Wankhede, Sarika Thakare, Nivedita Goverdhan, Santosh Shahane
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2017 · vol. 6(3) , pp. 924 · doi:10.18203/2320-1770.ijrcog20170557 · W2587816576
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-11 ⓘ

This study evaluated 115 infertile women via diagnostic laparoscopy, finding pelvic abnormalities in 86.95%, with tubal blockage, polycystic ovaries, and adhesions being the most common pathologies.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

This descriptive study evaluated 115 women with primary or secondary infertility at an outpatient infertility clinic in Obstetrics and Gynaecology (February 2012 to November 2013) using clinical history and investigations, with diagnostic laparoscopy findings documented. Normal laparoscopic findings were seen in 15.38% of primary infertility and 4.17% of secondary infertility, while pelvic abnormalities were found in 86.95% overall. The most common pathologies were tubal block (31.30%), polycystic ovaries (27.83%), and adhesions (20.87%), with uterine anomalies reported in 3.30%. The authors state as a limitation that laparoscopy is invasive yet conclude it is valuable/mandatory in the primary workup, though no explicit caveats about generalizability or study design are provided in the abstract. Relevance to endometriosis: endometriosis is listed among leading causes of female infertility in the paper’s background, though the reported laparoscopic results presented do not specifically quantify endometriosis.

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Abstract

Background: Infertility affects nearly 10-15% of couples and is an important part of clinical practice. Leading causes of infertility include tubal disease, ovulatory disorders, uterine or cervical factors, endometriosis and male factor infertility. The objective of the study was to find out different causes of female infertility with diagnostic laparoscopy.Methods: This was a descriptive study conducted from February 2012 to November 2013. 115 patients with infertility attending the infertility clinic in OPD of Obstetrics and Gynaecology were evaluated clinically with detailed history. The necessary investigations were carried out and the laparoscopic findings were documented.Results: There were 91 cases (79.13%) with primary infertility and 24 (20.87%) with secondary infertility. Laparoscopy revealed normal findings in 14 cases (15.38%) of primary infertility and 1 case (4.17%) of secondary infertility. Pelvic abnormality was found in 100 cases (86.95%). Tubal block was the most common pathology found in 36 cases (31.30%) followed by polycystic ovaries in 32 (27.83%) and adhesions in 24 (20.87%). Uterine anomalies were found in 3 cases (3.30%).Conclusions: Diagnostic laparoscopy is a valuable technique and a mandatory investigation, which, though invasive, is more convenient and more precise for the diagnosis of infertility. Because of its potential diagnostic as well as therapeutic benefits, all patients with infertility should undergo diagnostic laparoscopy as part of their primary workup of infertility.
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Background

Infertility affects nearly 10-15% of couples and is an important part of clinical practice. Leading causes of infertility include tubal disease, ovulatory disorders, uterine or cervical factors, endometriosis and male factor infertility. The objective of the study was to find out different causes of female infertility with diagnostic laparoscopy.

Methods

This was a descriptive study conducted from February 2012 to November 2013. 115 patients with infertility attending the infertility clinic in OPD of Obstetrics and Gynaecology were evaluated clinically with detailed history. The necessary investigations were carried out and the laparoscopic findings were documented.

Results

There were 91 cases (79.13%) with primary infertility and 24 (20.87%) with secondary infertility. Laparoscopy revealed normal findings in 14 cases (15.38%) of primary infertility and 1 case (4.17%) of secondary infertility. Pelvic abnormality was found in 100 cases (86.95%). Tubal block was the most common pathology found in 36 cases (31.30%) followed by polycystic ovaries in 32 (27.83%) and adhesions in 24 (20.87%). Uterine anomalies were found in 3 cases (3.30%).

Conclusions

Diagnostic laparoscopy is a valuable technique and a mandatory investigation, which, though invasive, is more convenient and more precise for the diagnosis of infertility. Because of its potential diagnostic as well as therapeutic benefits, all patients with infertility should undergo diagnostic laparoscopy as part of their primary workup of infertility.Metrics

References

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