Role of diagnostic laparoscopy in secondary infertility

Shital Kapadia; Nairuti Sompura; Disha Ghoniya

Volume : VII, Issue : XII, December - 2018

Role of diagnostic laparoscopy in secondary infertility

Shital Kapadia, Nairuti Sompura, Disha Ghoniya

Abstract :

Background: Use of diagnostic in secondary infertility has been a focus of attention in recent years and demonstrated to be very effective method in evaluating these cases. The main objective of the study was to detect the diagnostic efficacy of laparoscopy in uterine, pelvic and ovarian pathologies causing secondary infertility.

Methods: This prospective study included 40 women with secondary infertility and it was conducted at department of Obstetrics and Gynaecology, Civil Hospital, Ahmedabad during the period between May 2016 to November 2018. After thorough gynecological examination, necessary investigations were made and written consent form was taken from them before laparoscopy. The patients were kept fasting for 24 hours before the laparoscopy and the procedure was performed under general anaesthesia. All the data was collected on pre-designed proforma and the results were tabulated and raw percentages calculated to describe the results.

Results: Among 40 patients, the common age group in which patients presents with complaint of secondary infertility is 26 to 30 years.65% patients had previous history of abortion. 80% patients had normal uterus on laparoscopic finding. While 20%patients had abnormal laparoscopic findings. 7.5% patients had adhesion on uterus, 5%patients had congested uterus,5% patients had bicornuate uterus,2.5% patients had small sub serosal fioid. 32.5% patients had abnormal laparoscopic findings.12.5% patients had adhesions around the ovaries, 10% patients had small anovulatory type of ovaries,5% patients had cystic ovaries and 5% had congested ovaries

Conclusions: Laparoscopy is safe and cost effective method and should be considered as prime diagnostic tool for evaluating the etiology of secondary infertility in women and for effective treatment decisions.