ABSTRACT
To evaluate laparosocpic findings in patients with infertility both primary and secondary. This prospective study was carried out on two hundred female subjects with primary and secondary infertility aged 20-45 years, attending the department of Obstetrics and Gynaecology, Jinnah Hospital, Lahore during the period of 1997 to 1999. A detailed history taken and physical examination was done. All relevant investigations were done and then laparoscopy was performed and findings recorded. Both tubes were found to be patent in 83.5% of patients with primary infertility and 69% of patients with secondary infertility. Bilateral tubal blockage was present in 9% of patients with primary infertility and 20% of patients with secondary infertility. Bilateral pelvic adhesions were present in 10% of patients with primary infertility and 28% of patients with secondary infertility. Bilateral hydrosalpinx was found in 6.75% of patients with primary infertility and 12.5% of patients with secondary infertility. Laparasopy is useful in assessing tubal patency. In addition it provides information about presence of peritubal and ovarian adhesions, presence of polycystic ovaries and endometriosis as it allows direct visualization of pelvic cavity