Role of Diagnostic Laparoscopy in Evaluation of Infertile Women

ABSTRACT

Objective: To find out the magnitude of different types ofpelvic pathologies female infertility by laparoscopy.Methods: Seventy five infertile women who had undergoneinfertility evaluation by laparoscopy to see the pelvic pathologyor evaluation of pelvic organs at infertility department of BangoBandhu Sheikh Mujib medical university between July 2016 toJune 2017, were studied. Assessment of these patients wascarried out carefully before starting the endoscopic procedures.A full history was taken which was followed by thoroughgeneral, abdominal and pelvic examination than laparoscopywas performed under G/A.Results: The mean age ranged from 18 to 42 years. Amongthem 51(68%) patients were aged between 21 to 30 years. 51(68%) patients had primary infertility and 24 patients (32%) hadsecondary infertility.44 (58%) had normal tubes, 08 (10.67%)had some form of peritubal adhesion and 14 (18.67%) hadtubal block, either unilateral or bilateral. 52 (69.33%) patientshad normal pelvic peritoneum, 16 (21.33%) had pelvicadhesion probably from pelvic inflammatory diseases and07 (9.33%) had frank endometriosis. 23 (30.66%) had normalovaries, 32 (42.66%) had polycystic ovaries (pcos), 06 (08%)had periovarian adhesions, 04 (5.33%) patients had simpleovarian cysts, while 02 (2.66%) had endometriotic (chocolate)cysts.Conclusion: Ovarian pathology was the highest pelvicabnormality (69%) followed by tubal pathology (38%) anduterine pathology (29%)