The influence of laparoscopy on infertility management

Summary In 1983, we reported on the role of laparoscopy in the Infertility Clinic at the Rotunda Hospital1. We now present the current position and the effect of a Iaparoscopic investigation on subsequent patient management. At laparoscopy, 31% of patients had evidence of pelvic inflammatory disease and 5% had endometriosis. Management was altered in 39 (43%) patients. When reviewed, 14 (23%) patients had conceived, 5 patients without medical intervention and more patients with secondary infertility. The incidence of pelvic inflammatory disease is increased and of endometriosis is unchanged from the previous report. Similar content being viewed by others References McKenna, P., Darling, M., Harrison, R. Laparoscopic findings in women attending the Rotunda Hospital infertility clinic, in Proc XIth World Congress on Fertility and Sterility; ed. Harrison, R. F., 1983; 182. Ohlgisser, M., Sorokin, Y., Heifetz, M. Gynecologic laparoscopy: a review article. Obstet Gynecol Surv 1985; 40: 385–396. Steptoe, P. J. Lapacroscopy in Gynaecology. Churchill Livingstone, Edinburgh 1967; 13–26. Annual Clinical Report. Rotunda Hospital, Dublin. 1988. Royal College of Obstetricians and Gynaecologists. Gynaecological Laparoscopy. ed. Chamberlain G. V. P., Carron Brown J. A., 1978; 146-147. American Fertility Society. Revised classification of endometriosis. Fertil Steril 1985; 43: 351–352. Musich, J. R., Behrman, S. Y. Infertility laparoscopy in perspective: review of five hundred cases. Am J Obstet Gynecol 1982; 143: 293–303. Peterson, E. P., Behrman, S. J. Laparoscopy of the infertile patient. Obstet Gynecol 1970; 36: 363–367. Strathy, J. H., Molgaard, A., Coulam, Melton, L. J. Endometriosis and infertility: a laparoscopic study of endometriosis among fertile and infertile women. Fertil Steril. 1982; 38: 667–672. Hull, M. G. R., Glazener, M. A., Kelly, N. J. et al. Population study of causes, treatment and outcome of Infertility. Br Med J. 1985; 291: 1693–1697. Shearman, R. P.infertility, in Dewhurst’s Textbook of Obstetrics and Gynaecology for Postgraduates, 4th ed. Whitfield R. ed., Black well, Oxford 1986; 588–595. Goldenberg, R. L. Magendantz, H. G. Laparoscopy and the infertility investigation. Obstet Gynecol 1976; 47: 410–413. Stadler, Maassen, V., Stauber, M. Laparoscopic findings in 801 sterile patients, in Proc XIth World Congress on Fertility and Sterility; ed. Harrison RF, 1983; 185. Steinberger, E., Febres, N., Rodriguez-Rigau, L. J. Smith, K. D. Relationship of laparoscopic findings to pregnancy rates, in Prox XIth World Congress on Fertility and Sterility; ed. Harrison R. F., 1983; 187. ba]Olive D. Expectant management and hydrotubation in the treatment of endometriosis-associated infertility. Fertil Steril 1985; 44: 35–41. Trimbos-Kemper G. M., Trimbos, J. van Hall E. V. Pregnancy rates after laparoscopy for infertility. Eur J. Obstet Gynaecol Reprod Biol 1984; 18: 127–130. Author information Authors and Affiliations Rights and permissions About this article Cite this article Cahill, D.J., Cooke, I.E. & Darling, M.R.N. The influence of laparoscopy on infertility management. I.J.M.S. 160, 50–51 (1991). https://doi.org/10.1007/BF02947645 Issue date: DOI: https://doi.org/10.1007/BF02947645