Outcome of laproscopies for subfertility military and combined military hospitals Rawalpindi

ABSTRACT

The purpose of the study was to determine the common causes of subfertility among patients reporting to Military and Combined Military Hospital [Rawalpindi] by means of diagnostic laparoscopy in a selected group and to compare our findings with other international data. Descriptive study. It was a conducted in two sister hospitals of Army; Military and Combined Military Hospital [Rawalpindi] from September 2010 to August 2011. A total of 120 women with primary, secondary or unexplained subfertility were carefully selected by purposive sampling according to inclusion and exclusion criteria of the study design. The patients were subjected to diagnostic laparoscopy and pathologic causes documented accordingly. Outcome measures were based on tubal, uterine and ovarian pathology. Results were recorded and then compared with international data. Out of a total of 120 sub fertile women who underwent diagnostic laparoscopy, 82.5% had revealed pathologic abnormalities and 17.5% were with normal pelvic findings. Among the patients with abnormal pelvic findings PID with tubal occlusion was found in 40% of the patients, simple ovarian cysts in 30% of the patients and 12.5% had endometriosis. Primary subfertility was present in 53.3% of patients and 46.7% of patients had secondary subfertility. Maximum number of patients [58.3%] were in age group of 20-25 years and maximum number of patients [59.2%] had duration of infertility of more than 5 years. The laparoscopic procedures are less invasive, more convenient and more precise for the diagnosis of subfertility. Indeed diagnostic pelviscopy is the standard means of diagnosing the tubal pathology, peritoneal factors, endometriosis and intraabdominal causes of infertility. Not only does this help in identification of unsuspected pelvic pathology but also contributes to decision making of infertility treatment. Therefore, because of its potential diagnostic as well as therapeutic benefits, all patients with subfertility should undergo pelviscopy