ENDOMETRIOSIS;

PREVALENCE OF ENDOMETRIOSIS ON LAPAROSCOPY IN SUBFERTILE WOMEN.

Abstract

Objectives: To determine the frequency and staging of endometriosis in women undergoing diagnostic laparoscopy for subfertility. Study Design: Prospective observational study. Period: 1^st Jan 2017 to 31^st Dec 2017 over a period of one year. Setting: Gynecology Department of Nishtar Medical University and Hospital Multan. Methodology: Over n=84 patients admitted for diagnostic laparoscopy for the workup of infertility. All the patients fulfilling inclusion criteria of undiagnosed primary and secondary subfertility in reproductive age group were included and excluded all those patients who had previously abdominal surgery the data was gathered and analyzed using SPSS-17. The results were shown in in frequency and percentage tables. Results: The incidence of endometriosis was 20.2% (n=17) on diagnostic laparoscopy in patients with subfertility. The mean age of patient was 28.36±2.98 years. The mean duration of infertility was 4.89±1.17 years and only one patient had less than years of infertility while n=16 patients had infertility duration was more than three years. The frequency of primary and secondary infertility was70.58% (n=12) and 29.41% (n=5) respectively. Most of the patients diagnosed with moderate to severe endometriosis. The incidence of stage 1, 2, 3, and 4 was respectively n=2 (11.76%), n=4 (23.52%), n=4(23.52%) and n=7(41.17%). Conclusion: Laparoscopy is the best diagnostic modality for the determination of endometriosis and its impact on future fertility.  Efforts should be made to make availability of laparoscopy in all gynecological units in developing world so that endometriosis is properly diagnosed and timely treated.