Laparoscopic evaluation of female factors in infertility

• Published in: MRIMS journal of health sciences 2016, Vol.4 (3), p.155-157
• Main Authors: Reddy, GAruna, Anita, H, Rani, ASwarupa, Anupama, H
• Format: Article
• Language: English
• Subjects: laparoscopy; pcos; primary infertility; secondary infertility; tubal blocks
• ISSN: 2321-7006; 2321-7294
• DOI: 10.4103/2321-7006.302265

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.