FREQUENCY OF PELVIC PATHOLOGIES IN PRIMARY SUBFERTILITY ON DIAGNOSTIC LAPAROSCOPY

G ANDLEEB, Aaliya Muzaffar, Shahida Parveen, SA MALIK
In: Biological and Clinical Sciences Research Journal · 2023 · vol. 2023(1) , pp. 301 · doi:10.54112/bcsrj.v2023i1.301 · W4379883153
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Diagnostic laparoscopy revealed endometriosis in 40% and tubal blockage in 8% of 100 women with primary subfertility.

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This prospective study evaluated the frequency of pelvic pathologies in 100 women with primary subfertility who had normal pelvic examinations and partner semen analyses. All participants underwent diagnostic laparoscopy with methylene blue dye testing to assess tubal patency and identify intra-abdominal abnormalities. The findings revealed that endometriosis was the most prevalent cause, affecting 40% of the cohort, while tubal blockage accounted for 8% of cases. This paper is centrally about endometriosis — specifically its high prevalence as a cause of unexplained primary subfertility identified via laparoscopy.

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Abstract

This study aimed to determine the frequency of pelvic pathologies in female primary subfertility by using diagnostic laparoscopy. A prospective study was conducted in the Department of Gynecology and Obstetrics of Nishtar Hospital, Multan, from April 2022- April 2023. A total of 100 women aged 20-40 years who were unable to get pregnant after unprotected sex for one year and had a normal pelvic examination and semen analysis of the husband were selected for the study. All the patients underwent laparoscopy. A tubal patency test was performed by using methylene blue dye. 50 patients (50%) had been subfertile for 1-5 years. Laparoscopy revealed that endometriosis was the most common cause of subfertility, as seen in 40% of patients. Tubal blockage was also observed in 8 patients (8%). Based on the results, it can be concluded that endometriosis followed and tubal occlusions are the most common causes of subfertility in women.
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FREQUENCY OF PELVIC PATHOLOGIES IN PRIMARY SUBFERTILITY ON DIAGNOSTIC LAPAROSCOPY DOI: https://doi.org/10.54112/bcsrj.v2023i1.301Keywords: Hysterosalpingography, Pelvic Abnormalities, Laparoscopy, SubfertilityAbstract This study aimed to determine the frequency of pelvic pathologies in female primary subfertility by using diagnostic laparoscopy. A prospective study was conducted in the Department of Gynecology and Obstetrics of Nishtar Hospital, Multan, from April 2022- April 2023. A total of 100 women aged 20-40 years who were unable to get pregnant after unprotected sex for one year and had a normal pelvic examination and semen analysis of the husband were selected for the study. All the patients underwent laparoscopy. A tubal patency test was performed by using methylene blue dye. 50 patients (50%) had been subfertile for 1-5 years. Laparoscopy revealed that endometriosis was the most common cause of subfertility, as seen in 40% of patients. Tubal blockage was also observed in 8 patients (8%). Based on the results, it can be concluded that endometriosis followed and tubal occlusions are the most common causes of subfertility in women. Downloads References Begum, M. S. (2020). Comparison between Laparoscopy and Hysterosalpingography for Tubal Assessment in Female Infertility. EC Gynaecology 9, 84-90. Bhattarai, M., and Ghimire, S. P. (2017). Hysterosalpingographic evaluation of uterus and fallopian tubes of infertile women. Journal of Nobel Medical College 6, 63-71. Gad, M. S., Dawood, R. M., Antar, M. S., and Ali, S. E. (2019). Role of hysteroscopy and laparoscopy in evaluation of unexplained infertility. Menoufia Medical Journal 32, 1401. Hazlina, N. H. N., Norhayati, M. N., Bahari, I. S., and Arif, N. A. N. M. (2022). Worldwide prevalence, risk factors and psychological impact of infertility among women: a systematic review and meta-analysis. BMJ open 12, e057132. Javaid, S., Mastoi, S. 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(2019). Role of diagnostic hystero laparoscopy (DHL) in the evaluation of infertility. Int J Clin Obstet Gynaecol 3, 81-83. Reyes-Muñoz, E., Vitale, S. G., Alvarado-Rosales, D., Iyune-Cojab, E., Vitagliano, A., Lohmeyer, F. M., Guevara-Gómez, Y. P., Villarreal-Barranca, A., Romo-Yañez, J., and Montoya-Estrada, A. (2019). Müllerian anomalies prevalence diagnosed by hysteroscopy and laparoscopy in Mexican infertile women: Results from a cohort study. Diagnostics 9, 149. Saif, M., Mustafa, S., and Butt, B. (2022). Frequency of Causes of Female Infertility Diagnosed Through Laparoscopy in Females Presenting in a Tertiary Care Hospital. Journal of Rawalpindi Medical College 26. Shanmugham, D., Sahitya, N. D., Natarajan, S., and Saravanany, D. K. (2019). Role of diagnostic hystero-laparoscopy in the evaluation of female infertility. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, 3156-3161. Sharma, P., Sunita, S., Shrivastava, N., and Bhargava, M. (2023). Comparison of Hysterosalpingography and Laparoscopy in the Evaluation of Infertility: A Prospective Study. The Journal of Obstetrics and Gynecology of India, 1-8. Shobha, D., Madhu, K., and Amiti, A. (2014). Role of diagnostic hysterolaparoscopy in evaluation of primary and secondary infertility. Journal of Evolution of Medical and Dental Sciences 3, 2194-2208. Starc, A., Trampuš, M., Pavan Jukić, D., Grgas-Bile, C., Jukić, T., and Polona Mivšek, A. (2019). Infertility and sexual dysfunctions: a systematic literature review. Acta Clinica Croatica 58, 508-515. Tamrakar, S. R., and Bastakoti, R. (2019). Determinants of infertility in couples. Journal of Nepal Health Research Council 17, 85-89. Tan, J., Deng, M., Xia, M., Lai, M., Pan, W., and Li, Y. (2021). Comparison of hysterosalpingography with laparoscopy in the diagnosis of tubal factor of female infertility. Frontiers in Medicine 8, 720401. Downloads Published How to Cite Issue Section Categories License Copyright (c) 2023 G ANDLEEB , A MUZAFFAR , S PARVEEN , SA MALIK This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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