Role of Diagnostic Laparoscopy in Evaluation of Infertile Women

Akhtarunnessa, TA Chowdhury, Ismat Ara, M. Gazi, Banika Biswas
In: Bangladesh Journal of Obstetrics & Gynaecology · 2016 · vol. 28(2) , pp. 88–91 · doi:10.3329/bjog.v28i2.30096 · W2535529947
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study evaluated pelvic pathologies in 900 infertile women using laparoscopy, finding ovarian pathology in 41%, tubal pathology in 36%, and uterine pathology in 32%.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This study examined 900 infertile women undergoing diagnostic laparoscopy at a private infertility clinic in Dhaka (Jan 2002–Oct 2004) to characterize pelvic pathologies contributing to infertility, using pre-laparoscopic history and clinical examinations followed by laparoscopy under general anesthesia. Laparoscopic findings showed the most frequent abnormalities were ovarian (41% with polycystic ovaries), followed by tubal pathology (36%, including tubal block and peritubal adhesions) and uterine pathology (32%, including uterine myomas), with pelvic peritoneal adhesions and frank endometriosis identified in 16.44% and 9.45%, respectively, including endometriotic “chocolate” cysts in 2.11%. The limitation explicitly implied by the description is that this is a single-clinic observational cohort focused on laparoscopy-detected findings without further analytic detail on causes beyond lesion classification. Relevance to endometriosis: the paper reports laparoscopic identification of frank endometriosis (9.45%) and endometriotic (chocolate) cysts (2.11%) among infertile women, though its main focus is the overall role of diagnostic laparoscopy in evaluating pelvic pathology in infertility rather than endometriosis specifically.

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Abstract

Aims: To find out the magnitude of different types of pelvic pathologies female infertility by laparoscopy.Methods: Nine hundred infertile women who had undergone infertility evaluation by laparoscopy to see the pelvic pathology or evaluation of pelvic organs at a private infertility clinic at Dhaka between January 2002 and October 2004 were studied. Assessment of these patients was carried out carefully before starting the endoscopic procedures. A full history was taken which was followed by thorough general, abdominal and pelvic examinations then Laparoscopy was performed under general anaesthesia .Results: The mean age ranged from 18 to 42 years. Among them 612 (68%) patients were aged between 21 to 30 years. Six hundred and seven (67.44%) patients had primary infertility and 293 (32.56%) had secondary infertility. Laparoscopic findings showed that 610 (67.78%) patients had normal uterus while 390 (31.22%) had abnormalities of uterus. Among them 76 (8.4%) had uterine myomas. Five hundred and seventy four (64%) had normal tubes, 70 (7.8%) had some form of peritubal adhesions and 196 (21.78%) had tubal block, either unilateral or bilateral. Six hundred and sixty seven (74.11%) patients had normal pelvic peritoneum, 148 (16.44%) had pelvic adhesions probably from pelvic inflammatory diseases and 85 (9.45%) had frank endometriosis. Two hundred and eighty nine (32.11%) had normal ovaries, 370 (41.11%) had polycystic ovaries (PCO), 109 (12.11%) had periovarian adhesions 72 (8%) patients had simple ovarian cysts while 19 (2.11%) had endometriotic (chocolate) cysts.Conclusion: Ovarian pathology was the highest pelvic abnormality (41%) followed by tubal pathology 36% and uterine pathology 32%.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(2) : 88-91
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Methods

Nine hundred infertile women who had undergone infertility evaluation by laparoscopy to see the pelvic pathology or evaluation of pelvic organs at a private infertility clinic at Dhaka between January 2002 and October 2004 were studied. Assessment of these patients was carried out carefully before starting the endoscopic procedures. A full history was taken which was followed by thorough general, abdominal and pelvic examinations then Laparoscopy was performed under general anaesthesia .

Results

The mean age ranged from 18 to 42 years. Among them 612 (68%) patients were aged between 21 to 30 years. Six hundred and seven (67.44%) patients had primary infertility and 293 (32.56%) had secondary infertility. Laparoscopic findings showed that 610 (67.78%) patients had normal uterus while 390 (31.22%) had abnormalities of uterus. Among them 76 (8.4%) had uterine myomas. Five hundred and seventy four (64%) had normal tubes, 70 (7.8%) had some form of peritubal adhesions and 196 (21.78%) had tubal block, either unilateral or bilateral. Six hundred and sixty seven (74.11%) patients had normal pelvic peritoneum, 148 (16.44%) had pelvic adhesions probably from pelvic inflammatory diseases and 85 (9.45%) had frank endometriosis. Two hundred and eighty nine (32.11%) had normal ovaries, 370 (41.11%) had polycystic ovaries (PCO), 109 (12.11%) had periovarian adhesions 72 (8%) patients had simple ovarian cysts while 19 (2.11%) had endometriotic (chocolate) cysts.

Conclusion

Ovarian pathology was the highest pelvic abnormality (41%) followed by tubal pathology 36% and uterine pathology 32%. Bangladesh J Obstet Gynaecol, 2013; Vol. 28(2) : 88-91 Downloads 214 237

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endometriosisinfertility

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