Frequency Of Endometriosis in Females with Infertility Undergoing Diagnostic Laparoscopy

Abstract

Endometriosis is the most common, chronic condition. Although some females are asymptomatic, the majority of women come with infertility, adnexal mass, or pelvic pain. Endometriosis treatment in the context of infertility poses a variety of challenging clinical issues. Objective: The objective of current study is to identify frequency of endometriosis on laparoscopy in females with infertility. Methods: This retrospective study was done at the Department of Obstetrics and Gynaecology, Saint Luke's General Hospital, Kilkenny, Ireland. Medical records of 215 females meeting the inclusion criteria underwent diagnostic laparoscopy were included. Basic demographical details and clinical examination was evaluated and presented through descriptive statistics. On diagnostic laparoscopy, representative sample was taken and sent to hospital histopathology for evaluation of endometriosis. Chi square test was applied to identify the influence of variables on endometriosis. Results: Mean age of females was 28.67 ± 6.35 years. Mean duration of marriage was 6.63 ± 5.26 years. There were 80 (37.21%) women in which endometriosis was diagnosed. No significant statistical association was seen for endometriosis with age, infertility type and duration of infertility. Conclusions: The findings of this study show an increasing trend in endometriosis identification or occurrence in women with infertility. Endometriosis with infertility is not an uncommon disease in women. Though laparoscopy is intrusive method, but with the right training the issues and complications that come with it can be reduced, which benefits the patients and offers us a clear picture or pathology of the disease