A study of role of diagnostic laparoscopy in the management of female infertility
Author: Ashish Kumar1*, Shashi Kiran1
1 Senior Resident, Department of Obstetrics and Gynaecology, GMERS Medical College, Junagadh
BACKGROUND: The objective of this study was to study role of diagnostic laparoscopy in the management of unexplained infertility. MATERIALS AND METHODS: 100 cases of infertility (primary +secondary) with unknown etiology that underwent diagnostic laparoscopy in a tertiary care institute. Diagnostic laparoscopy was offered a final option for patients with normal diagnostic workup for infertility like semen analysis, ovulation testing, ultrasound examination, hysterosalpingogram and test for ovarian reserve. Outcome in terms of cause detected and immediate laparoscopic treatment given which was helpful for improving infertility. RESULTS: Out of 100 cases studied, in 55 cases we found probable cause of infertility and in remaining 45 cases we did not found any cause of infertility. Out of 55 cases 13 cases had cystic ovary & PCOD, 11 cases had bilateral tubal block, 10 cases had multiple pelvic adhesion,8 cases had endometriosis, 5 cases had combined endometriosis & pelvic adhesion, 4 cases had unilateral tubal block,2 cases had cystic ovary with pelvic adhesion, 1 case had beaded tube and 1 case had fimbrial phimosis. CONCLUSIONS: We concluded that laparoscopy has important role in the diagnosis and treatment of unexplained infertility .It also helps in Prediction and improvement of success rate of assisted reproductive technologies like IUI and IVF.