DIAGNOSTIC LAPAROSCOPY FOR INFERTILITY

AN ACCURATE TECHNIQUE FOR EVALUATION

Abstract

Objective: To assess the causes of infertility by laparoscopy. Study design:
Observational study. (Prospective). Place & Duration of study: Imdad hospital & Mahnaz
Laparoscopy Center, Quetta from 1st Jan 2013 to 31st Dec 2013. Methodology: All the infertile
patients either with primary or secondary infertility was included after thorough evaluation.
Diagnostic laparoscopy was done on these patients. Different causes were seen like tubal
blockage, T.B, Endometriosis, adhesion of previous abdominal surgery, polycystic ovaries.
Results: The study group consisted of 35 cases of infertile patients’ aged between 16 to 46
years. 19 (54.3%) patients comprised primary infertility and 16 (45.7%) patients had secondary
infertility because of tuberculosis (TB), pelvic inflammatory disease, endometriosis, polycystic
ovaries and previous surgery. 37.1% were asymptomatic, while irregular cycles, discharge
and dysmenorrhea were common symptoms Normal findings were in 3(8.6%) women.
8.5% had unilateral blockage and 14.3% had bilateral blockage. 22.9% (8) cases had pelvic
tuberculosis and endometriosis was found in 3(8.6%) patients.11.4% (4) had pelvic adhesions.
No major complication occurred except nausea, vomiting, pain and mild fever. Conclusion:
Pelvic tuberculosis was most common pathology detected followed by Endometriosis, Pelvic
inflammatory disease and adhesions.