Laparoscopic Evaluation of Pelvic Organ in Patients of Subfertility

Résumé

Introduction: Decreased fertility for a long period of time can be classified as subfertility, and when the duration increases greatly, it can be classified as infertility. Finding the proper cause of decreased fertility can improve the chances of conceiving greatly in the majority of patients. But to find the proper cause and treatments, detailed examinations and investigations must be conducted. For the female reproductive system, few methods are as effective as laparoscopy in conducting a detailed investigation of various reproductive organs. Aim of the study: The aim of the study was to observe the laparoscopic evaluation of pelvic organs in subfertile women. Methods: This descriptive observational study was conducted at the Department of Gynecology and obstetrics, Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh from January 2009 to December 2009. The study was conducted with 50 female patients of reproductive age who were subfertile or possibly infertile, attending the outpatient department of the study hospital. Result: Maximum number of patients were below 36 years. 66% of the patients presented with primary infertility whereas secondary infertility was present in 34% of the patients. Laparoscopy revealed normal findings in 52% of the patients. The common tubal abnormalities were unilateral tubal blockage 24%, bilateral tubal blockage 14%, peritubal adhesion20-22%, kinking 08-12% and hydrosalpinx 08%. Ovarian problems were found in 56% with polycystic ovary syndrome 08%, adhesion 08-10% and chocolate cyst 06-08%. Corpus luteum was present in 27.76% of the patient. Conclusion: The laparoscopic evaluation of pelvic organ in patients of subfertility was done in this study. it can be concluded that diagnostic laparoscopy is a valuable technique and is an important invasive investigation for complete assessment of female infertility.