Evaluation of Female Infertility by Laparoscopy in a Secondary Level Infertility Care Centre

Afroza Kutubi, Rusdana Rahman, Sumana Rahman, Md. Mustafizur Rahman
In: Journal of Shaheed Suhrawardy Medical College · 2019 · vol. 11(1) , pp. 9–12 · doi:10.3329/jssmc.v11i1.43171 · W3008579234
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Laparoscopy evaluated 48 infertile women in a secondary care center, identifying endometriosis in 14% of cases alongside other causes like PCOS and PID.

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This prospective cross-sectional study evaluated the diagnostic utility of laparoscopy for female infertility within a secondary-level care center that excludes advanced IVF procedures. Researchers examined 48 infertile women, finding that 54% suffered from primary infertility and 46% from secondary infertility, with diagnoses including polycystic ovary syndrome, pelvic inflammatory disease, and unexplained causes. The key finding was that endometriosis was identified in 14% of the cases, demonstrating that laparoscopy can detect correctable pathology not revealed by other screening tests. This paper is centrally about endometriosis — specifically its prevalence as a diagnosed cause of infertility in women undergoing diagnostic laparoscopy.

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Abstract

Introduction: infertility is regarded as an upsetting and difficult life experience for some women with elevated levels of anxiety & depression. Laparoscopy is the gold standard in diagnosing various aspects of female subfertility as well as treatment of some of them at the same time.Secondary level infertility care centre includes all those can manage every aspects of problems of infertily except IVF-ET and other advance aspects of management. Objective: To find out the role of laparoscopy in the management of infertile women in a secondary level infertility care centre. Study Design: Prospective cross sectional study. Setting: Fertility care centre, Department of Obst. &Gynaecology Dhaka Medical College Hospital from January 2018 to June 2018. Methods: During the study period 328 infertile women attended infertility outdoor. .Among them 48 were admitted for diagnostic laparoscopy. Results: Out of forty eight women 26 (54%) had primary infertility, 22 (46%) had secondary infertility.The findings were PCOS in 22% of cases, endometriosis in 14%, PID in 15% cases,unexplained in 20%, fibroid uterus in 6% cases congenital anomaly of uterus in 1% and others in 22% . Conclusion: Laparoscopy is the gold standard in evaluating infertile women.Some women would have a correctable problem found at laparoscopy that would not be discovered with any other fertility screening tests like endometriosis. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 9-12
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Keywords

Laparoscopy, Secondary level infertility care centre.Abstract

Introduction

infertility is regarded as an upsetting and difficult life experience for some women with elevated levels of anxiety & depression. Laparoscopy is the gold standard in diagnosing various aspects of female subfertility as well as treatment of some of them at the same time.Secondary level infertility care centre includes all those can manage every aspects of problems of infertily except IVF-ET and other advance aspects of management.

Objective

To find out the role of laparoscopy in the management of infertile women in a secondary level infertility care centre. Study Design: Prospective cross sectional study. Setting: Fertility care centre, Department of Obst. &Gynaecology Dhaka Medical College Hospital from January 2018 to June 2018.

Methods

During the study period 328 infertile women attended infertility outdoor. .Among them 48 were admitted for diagnostic laparoscopy.

Results

Out of forty eight women 26 (54%) had primary infertility, 22 (46%) had secondary infertility.The findings were PCOS in 22% of cases, endometriosis in 14%, PID in 15% cases,unexplained in 20%, fibroid uterus in 6% cases congenital anomaly of uterus in 1% and others in 22% .

Conclusion

Laparoscopy is the gold standard in evaluating infertile women.Some women would have a correctable problem found at laparoscopy that would not be discovered with any other fertility screening tests like endometriosis. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 9-12 243 246

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endometriosisinfertility

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