Evaluation of Laparoscopy in Diagnosis of Female Infertility in Females- A Retrospective Study

Abstract

Listen

Translate article

Introduction: Infertility, one of the most common conditions confronting gynecologists, is defined as inability to conceive after 1 year of regular unprotected sexual intercourse. Infertility is a problem of global proportion. In recent years, laparoscopy has been considered as important tool in diagnosis and treatment of infertility. Objective: To detect the diagnostic efficacy of laparoscopy in uterine, tubal and ovarian pathologies. Material and Methods: This was a retrospective study carried out in Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital, Dhaka, Bangladesh from July to December 2022 in collaboration with Department of Radiodiagnosis & Department of Pathology. Study included sixty one cases of both primary and secondary infertility in women. We included only those infertile ladies whose husbands showed normal semen analysis. A detailed clinical history especially marital and obstetric history of the patients was taken. Through gynaecological examination was done and all necessary investigations (baseline endocrinal investigations, post coital study, cervical mucus study, ovulation study, post menstrual HSG) were done before laparoscopic examination. Written consent form was taken from all the patients. Results: Among 61 patients, 39 (63.9%) belonged to primary infertility and 22 (36.1%) were of secondary infertility. In primary (58.9%) and secondary infertility (59.1%) maximum number of patient belonged to age group of 21-25 years followed by 21-25 years age group in primary infertility and 31-36 years age group in secondary infertility. Peritubal or peri-ovarian adhesions were present in 15 cases of primary infertility and 5 cases of secondary infertility. Thirty four patients (56.67%) had normal ovaries. Conclusion: Due to safety and cost effectiveness, laparoscopy is considered as important diagnostic tool for evaluation of cause of infertility in women and for effective treatment decisions.