Laproscopic evaluation in primary female infertility
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20194382Keywords:
Endometriosis, Infertility, Laproscopy, Female factor infertility, PCOD, Tubal factorAbstract
Background: Infertility is defined as inability to conceive within one or more years of regular unprotected coitus. Infertility has now a days not only a medical but a social problem as well. Ignorance and illiteracy, coupled with hesitancy to discuss the problem, complicates the matter further. WHO has listed infertility as a global health issue.
Methods: The present study was conducted on 64 patients with female factor primary infertility admitted in department of obstetrics and gynecology at Rajendra Hospital, Patiala over a duration of 1 year (December 2013- November 2014). All the patients had normal semen study of their partner.
Results: In our study mean age was 27.87±4.57. No patient was above 40 years of age. Duration of infertility between 1-5 years was in 47 patients (73.43%), nine patients (14.06%) were infertile for 6-10 years. Out of 64 patients of primary infertility, majority of patients were of endometriosis 15(23.43%), followed by pelvic inflammatory disease
14(21.87%), tubal blockade in 7(10.9%), PCOD in 6(9.37%). 14.08% patients had normal laproscopic study. 34 patients (53.12%) had bilateral spill while no spill was seen in 12 patients (18.75%). Unilateral spill was seen in seven patients (10.93%) while six patients (9.37%) had delayed spill.
Conclusions: Prevalence of infertility is increasing, so is the awareness and treatment seeking behavior. The present study assures that in evaluation and workup of primary infertility patients, after baseline noninvasive investigations, endometrial sampling and HSG, the diagnostic and operative laproscopy is an excellent tool for evaluation of tubal factor. Least expected conditions like endometriosis on clinical evaluation, can be diagnosed and treated with ease on laproscopy. Although tubal factor has been considered to be responsible for a large percentage of cases with female secondary infertility since decades, but in present study laproscopic evaluation confirmed tubal factor in 85.01% cases with female factor infertility.
Metrics
References
Dutta DC. Infertility. In: Textbook of Gynecology. Central. 2001;3:212-222.
Babar M, Shah WB, Mehmood KT. Diagnostic significance of laproscopy in infertility and identification of various unsuspected factors associated with infertility in females. J Pharm Sci Res. 2010;2(8):499-505.
Kumar P, Malhotra N. Infertility and Assisted Reproductive Technology. In: Jeffcoate,s Principle of Gynecology. New Delhi: Jaypee Brothers Medical Publishers Ltd; 2008;7:699-700.
Vayena E, Rowe PJ, Griffin PD. Current practices and controversies in assisted reproduction: report of a WHO meeting on “Medical, Ethical and Social aspects of Assisted Reproduction”. World Health Organization; 2002:10-25.
Aubuchon M, Burney RO, Schust DJ, Yao M.W.M. Berek and Novaks Gynecology 15th Ed. 1133-89.
Kanal P, Sharma S. Study of primary infertility in females by diagnostic laproscopy. Internet J Med Update. 2006;1(2):7-9.
Markar RS, Toth TL. The evaluation of infertility. Am J Clin Pathol. 2002;117(suppl 1):S95-S103.
Krysiewicz S. Infertility in women: diagnostic evaluation with hysterosapingography and other imaging techniques. AJR. 1992;159:253-61.
Sauer MV. Investigation of the female pelvis. J Reprod Med. 1993;38(4):269-76.
Fritz MA, Speroff L. Clinical Gynecologic. Endocrinol Infert. 2010;8:1177-85.
Shetty SK, Shetty H, Rai S. Laproscopic evaluation of tubal factor in cause of infertility. Int J Reprod Contracept Obstet Gynecol. 2013;2(3):410-3.
Nayak PK, Mahapatra PC, Mallick JJ, Swain S, Mitra S, Sahoo J. Role of diagnostic hysteron-laproscopy in the evaluation of infertility: A retrospective study of 30 patients. J Hum Reprod Sci. 2013;6(1):32-4.
Berker B, Mahadavi A, Shahmohamady B, Nezhat C. Role of laproscopic surgery in infertility. Middle East Fertility Society J. 2015;10(2):94-104.
Nalbanski B, Nikolov A, Novachkov V, Punevska M. The importance of laproscopy in the diagnosis of tubal sterility. Akush Ginekol (Sofiia). 1990;29(6):25-30.
Shamim S, Farooq M, Shamim R. Diagnostic laproscopic findings in infertile patients in the Saudi population. Pak J Med Health Sci. 2010;4(4):560-3.
Bhatia R, Kaur S, Aggarwal S. Laprocopic Evaluation of Tubal Factor. Obs Gynae. 2002;7(9):538-41.
Haider G, Rani S, Talpur S, Zehra N, Munir A. Laproscopic evaluation of female infertility. J Ayub Med Coll Abbottabad. 2010;22(1):136-8.
Aziz N. Laproscopic evaluation of female factors in infertility. J Coll Physicians Surg Pak. 2010;20(10):649-52.
Butt ZUN, Khan GH. Study of infertility in females by laproscopy in remote area. J Rawalpindi Med College. 2009;13(2):89-91.
Tsuji I, Ami K, Miyazaki A, Hujinami N, Hoshiai H. Benefit of diagnostic laproscopy for patients with unexplained infertility and normal hysterosalpingography findings. Tohoku J Exp Med. 2009;219(1):39-42.
Pereira NR, Leite MH, Ribeiro RN, Passarinho RM, Castro MG, Matias SM. Laproscopy in the decision of treatment strategy for the infertile couple. Rev Bras Ginecol Obstet. 2010;32(9):441-6.
Odusoga OL, Oloyede OAO, Adewunmi AA, Fakoya TA. Experience with the laproscope in the evaluation of infertile women in Sagamu. Nigerian J Clin Pract. 2002;5(2):127-9.
Downloads
Published
How to Cite
Issue
Section
