Analysis of causes and laparoscopic picture of tubal-peritoneal form of infertility in women of reproductive age

Abstract

Background: The study presents the data on the causal factors for development of tubal-peritoneal form of infertility (TPFI), as well as an enhanced laparoscopic picture of the uterus and appendages status in women of reproductive age. Aims and Objective: The purpose of the study is to determine the causes for development and give the enhanced laparoscopic picture of TPFI in women of reproductive age. Materials and Methods: An examination of 103 women was the basis for the research using anamnestic, general clinical, functional, and laparoscopic methods. Result: The factors of tubal peritoneal infertility in women include available extragenital diseases, urogenital infections, undertaken surgeries, inflammation of the uterus and appendages. The laparoscopic picture of the pelvic organs in women is made of available adhesions of various degrees, a change to fallopian tubes, ovaries, a uterine body, and available peritubal periovarian adhesions. Conclusion: TPFI in women of reproductive age in 88.6% cases develops against the background of an available extragenital pathology, in 69.6% cases against the background of urogenital infections, and in 77.3% cases against the background of previous surgeries on the pelvic and abdominal cavity organs. The laparoscopic picture of TPFI in women is described with significant pathological changes to the uterus and appendages and in 62.1% cases accompanied with a complete obstruction in fallopian tubes.