ABSTRACT
Introduction: Infertility is defined as ‘the failure to achievea clinical pregnancy after 12 months or more of regularunprotected sexual intercourse’ by WHO. The WHO estimatesthe overall prevalence of primary infertility in India to bebetween 3.9% and 16.8%. The study was done to assess therole of diagnostic laparoscopy in infertile patients in a ruraltertiary care hospital, in southern India.Materail and method: This is a retrospective study conductedin tertiary care hospital for a period of one year. All patientswith complaints of infertility (primary and secondary) whowere admitted and evaluated for infertility in OBG departmentof MVJ medical college, Hoskote for a period of one yearwere included in the study.60 patients underwent diagnosticlaparoscopy .The prevalence of abnormalities were note.Results: Sixty patients underwent diagnostic laparoscopywith chromopertubation for infertility during period of oneyear. Among 60 patients, 45 (76.66%) patients had primaryinfertility and 15(23.34%) patients had secondary infertility.The patient’s age distribution was between 18 – 38 yrs.Maximum number of patients were between 20- 30 years.Among 60 patients , 26 (43.33%) patients had abnormallaparoscopic findings.Multiple abnormalities were foundin most of the patients .18(30%) patients had PID and itssqueal of peritubal adhesions , 11(18.3%) patients had PCOD, 4(6.66%) patients had endometriosis, 1(2.77%)patient hadhypoplastic uterus, 7(11.66%) patients had uterine fibroids,10(16.66%0 patients had tubal block on chromopertubation .Conclusion: Diagnostic laparoscopy provides an unobstructedmagnified view of the pelvic reproductive organs. Ovarian,tubal and peritoneal surface pathology can be easily identifiedwhich are missed on routine infertility work up Hencediagnostic laparoscopy is an essential investigation in theevaluation of female infertility and also helps in decisionmaking, patient selection for IUI , IVF or natural conceptionand in treating infertile couples.