Frequency of endometriosis found on laparoscopic examination among females with subfertility.

Abstract

Objective: To determine frequency of endometriosis and its staging found on diagnostic laparoscopy for subfertility among females. Study Design: Cross Sectional study. Setting: Department of Gynecology and Obstetrics, Jinnah Medical and Dental College and Hospital Karachi. Period: August 2020 to January 2021. Material & Methods: Total 120 female cases were enrolled into the study who were admitted in the ward for diagnostic laparoscopy to determine cause of subfertility. All female patients in reproductive age having undiagnosed primary or secondary subfertility were selected using consecutive sampling technique. Those who had previously any abdominal surgery were excluded from the study. Data was analyzed using SPSS-20 software. Results were presented in the form of frequency, percentage, and mean ± standard deviation. Results: Endometriosis was diagnosed on laparoscopy in 29.1% cases as a cause of infertility. Age range of the patients in study group was 16-45 years with mean age of 27.42 ± 2.16 years. Infertility duration was ≤3 years in majority of cases (65%). Primary infertility was present in 65.7% and secondary infertility was found in 34.3% cases in study group. Most of the patients diagnosed for endometriosis were having age > 30 years. Stage-4 endometriosis was found commonly in 42.8% cases. Conclusion: Laparoscopy is a best modality for diagnosing endometriosis and its effect on fertility in future. This facility should be available in all gynecological departments for timely diagnosing endometriosis and to treat it promptly.