Laparoscopic evaluation of female factors in infertility

GAruna Reddy, H Anita, ASwarupa Rani, Anupama Hari, H Anupama
MRIMS Journal of Health Sciences · 2016 · vol. 4(3) , pp. 155 · doi:10.4103/2321-7006.302265 · W3116291228
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This study evaluated 72 infertile women via laparoscopy, finding tubal blocks (16.66%) and polycystic ovaries (18.05%) to be the most common causes, with 20.82% showing no visual abnormalities.

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This study evaluated the causes of female infertility in 72 women undergoing diagnostic laparoscopy, distinguishing between primary and secondary infertility. The most frequent findings were tubal blocks and polycystic ovaries, while endometriosis was identified in only 5.55% of cases. The authors noted that over twenty percent of patients presented with no visual abnormalities on laparoscopy. Relevance to endometriosis: listed as one of several pathological findings detected during laparoscopic evaluation for infertility, though it was not the primary focus or most common cause identified in this cohort.

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Abstract

Background: Diagnostic laparoscopic evaluation for infertility is indicated for women who failed to achieve a successful pregnancy after twelve months or more of regular unprotected intercourse. Since approximately 85% of couples may be expected to achieve pregnancy within that time interval without medical assistance, evaluation may be indicated for as many as 15% of couples. Objective: To find out different causes of female infertility with diagnostic laparoscopy and their comparative frequency in primary and secondary infertility. Methods: All 72 infertile women who underwent diagnostic laparoscopy for primary and secondary infertility during this study period were included in the study, conducted at Department of Obstetrics & Gynecology, Gandhi Medical College/Hospital, Secunderabad from January 2015 to December 2015. Results: 72 infertile women underwent laparoscopy during the study period. Among this 56 (77.77%) of patients had primary infertility, while 16 (22.22%) had secondary infertility. Among this, 15 (20.82%) patients who underwent laparoscopy have no visual abnormality. Common findings were tubal blocks in 12 (16.66%) and PCO 13 (18.05%) in these patients. Polycystic ovaries were not found in cases of secondary infertility. Endometriosis was found in 4 (5.55%) patients.PID was found in 3 (5.35%) patients peritubal and periovarian adhesion were found in 7 (9.73%). Fibroids were found in 12 (16.66%) cases and ovarian cysts were found in 5 (6.94%) cases and uterine anomalies were found in 2 (2.77%) cases. Conclusion: Most common cases responsible for infertility were tubal occlusions and polycystic ovaries. Next common finding on Laparoscopy was fibroid and other cases which were found were ovarian cysts, endometriosis, and peritubal and periovarian adhesions. And in 20.82% of cases no visual abnormality was detected.
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Background

Diagnostic laparoscopic evaluation for infertility is indicated for women who failed to achieve a successful pregnancy after twelve months or more of regular unprotected intercourse. Since approximately 85% of couples may be expected to achieve pregnancy within that time interval without medical assistance, evaluation may be indicated for as many as 15% of couples.

Objective

To find out different causes of female infertility with diagnostic laparoscopy and their comparative frequency in primary and secondary infertility.

Methods

All 72 infertile women who underwent diagnostic laparoscopy for primary and secondary infertility during this study period were included in the study, conducted at Department of Obstetrics & Gynecology, Gandhi Medical College/Hospital, Secunderabad from January 2015 to December 2015.

Results

72 infertile women underwent laparoscopy during the study period. Among this 56 (77.77%) of patients had primary infertility, while 16 (22.22%) had secondary infertility. Among this, 15 (20.82%) patients who underwent laparoscopy have no visual abnormality. Common findings were tubal blocks in 12 (16.66%) and PCO 13 (18.05%) in these patients. Polycystic ovaries were not found in cases of secondary infertility. Endometriosis was found in 4 (5.55%) patients. PID was found in 3 (5.35%) patients peritubal and periovarian adhesion were found in 7 (9.73%). Fibroids were found in 12 (16.66%) cases and ovarian cysts were found in 5 (6.94%) cases and uterine anomalies were found in 2 (2.77%) cases.

Conclusion

Most common cases responsible for infertility were tubal occlusions and polycystic ovaries. Next common finding on Laparoscopy was fibroid and other cases which were found were ovarian cysts, endometriosis, and peritubal and periovarian adhesions. And in 20.82% of cases no visual abnormality was detected.

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endometriosisinfertility

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