SUBFERTILE WOMEN;

FREQUENCY OF FACTORS LEADING TO TUBAL BLOCKAGE EVALUATED BY LAPAROSCOPY.

Abstract

Objectives: To determine the frequency of factors leading to tubal blockage
in subfertile women evaluated by laparoscopy. Study Design: Cross-sectional study. Period:
Six months from 1 February 2015 to 31 July 2015. Setting: Department of Obstetrics &
Gynaecology of Nishter Hospital Multan. Methods: Two hundred and eighty (280) married
primary subfertile females presenting with primary and secondary subfertility of age more than
20 and less than 40 years were included. Laparoscopy was done in every patient. Data was
analyzed by SPSS 19. Descriptive statistics was used to calculate mean+SD for continuous
variables. Frequencies and percentages was calculated for qualitative variables. P value < 0.05
was consider significant. Results: Mean age of the patients was 30.52±5.72 years. Out of 280
patients, 175 (62.5%) were Nulliparous, 77 (27.5%) were of parity status 1 and 28 (10%) were
of parity status 2. Intraoperative findings of laparoscopy revealed tubal blockage in 51 (18.2%)
women. The most common cause of tubal blockage was Neisseria Gonorrhea diagnosed in 17
(33.4%) patients, Pelvic Inflammatory disease was diagnosed in 14 (27.4%) patients, Chlamydia
Trachomatis in 17 (21.6%) patients and Endometriosis in 9 (17.6%) patients. Conclusion: The
incidence of tubal blockage in sub fertile women is 18.2%. Neisseria Gonorrhea infection, Pelvic
Inflammatory disease, Chlamydia trachomatis infection and endometriosis are common factors
responsible for tubal blockage.