Laparoscopic evaluation of female infertility in low socioeconomic status

Saini, Chesta; Gupta, Ashoo; Rajurkar, K.; Saxena, Kartik; Saini, Kanchan; Saini, Rijul

doi:10.18203/2320-1770.ijrcog20183323

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…Same results were reported by Usmani who reported that patients with primary infertility presented earlier i.e. mean of 3.2 years than secondary infertility 8 .…”

Section: Discussionsupporting

confidence: 86%

Laparoscopic Evaluation of Primary and Secondary Subfertility

Kasem

Sultana

Begum

et al. 2020

Bangladesh J Obstet Gynaecol

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Background: Prevalence of subfertility in industrialized countries has been quoted as 20%,and seems to be on the rise. Traditional way to assess the uterine cavity, tubal structure andtubal patency was hysterosalphingography but it is now been largely superseded bylaparoscopy and hysteroscopy. With the objective of this study was to highlight the role oflaparoscopy in establishing the diagnosis of primary and secondary female subfertility anddifferent therapeutic procedure done. Method: This cross sectional study was conducted in the Subfertility and ReproductiveMedicine Unit of Gynae and Obstetrics department of Dhaka Medical College Hospital, Dhakafrom January 2015 to June 2018. Total 4256 sub fertile patients attended the Infertility OPD.Out of these 215 patients were selected for laparoscopy. Those patients who hadcontraindication for laparoscopy were excluded from study. Detailed laparoscopic findingswere recorded. Results: Out of 125 selected sub fertile patients 136 (63.26%) patients were in primarysubfertility group while 79 (36.74%) patients were in secondary subfertility group. In primarysubfertility group(n=136), most common laparoscopic finding was PCO in 44 (32.34%) patientsfollowed by peritubal and periovarian adhesions in 24 (17.65%) patients, Bilateral tubalblock in 23(16.91%) patients, Endometriosis in 15(11.03%), Unusual tortuous and lengthytube in 15(11.03%) patients, fibroid in 11(8.09%) patients, Mullerian agenesis and hypoplasiain 3(2.21%) cases. No visible abnormality found in 22(16.18%) cases.The commonest finding by laparoscopy in patients with secondary infertility were PCO in 18(22.78%) patients and peritubal and periovarian adhesions in 18 (22.78%) patients, followedby Bilateral tubal block in 12(15.19%) patients, fibroid uterus in 12(15.19%) patients,Endometriosis in 10(12.66%), Genital tuberculosis in 3(1.40%) cases. No visible abnormalityfound in 12(15.19%) cases.Various laparoscopic procedure like Ovarian drilling. Adhesiolysis, ovarian cystectomy, cystpuncture, salphingostomy, Myomectomy. Conclusion: Laparoscopy helped us to detect and treat important clinical condition in bathprimary & secondary sub fertility. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 143-148

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“…Same results were reported by Usmani who reported that patients with primary infertility presented earlier i.e. mean of 3.2 years than secondary infertility 8 .…”

Section: Discussionsupporting

confidence: 86%

Laparoscopic Evaluation of Primary and Secondary Subfertility

Kasem

Sultana

Begum

et al. 2020

Bangladesh J Obstet Gynaecol

View full text Add to dashboard Cite

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“…Usmani et al, in Rawalpindi reported 62% patients with primary infertility and 38% of patients with secondary infertility. 7 Major symptoms in our study were menstrual irregularities which was seen in 42 patients (51%) in primary infertility group and in 9 patients (40%) in secondary infertility group. The most common cause of irregular menses is PCOS which coincides with our study.…”

Section: Discussionmentioning

confidence: 53%

Role of hysterolaparoscopy in the evaluation of female infertility in a tertiary care centre

Parihar

Gowri

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Infertility is one of the most important and underappreciated reproductive health problems in developing countries. Inability to conceive bears a social stigma which causes societal repercussion and personal suffering. The advent of hysterolaparoscopy have redefined the evaluation and treatment of infertile women. Study aimed to assess the role of hysterolaparoscopy in the evaluation of female infertility.Methods: This prospective observational study was done in the department of obstetrics and gynaecology, Gandhi Medical College, Sultania Zanana Hospital, Bhopal, during the period between 1st December 2016 to 30th November 2017. 104 infertile patients either with primary or secondary infertility were included after thorough evaluation.Results: Out of 104 infertile patients, 82(78.8%) women had primary infertility and rest 22(21.1%) women had secondary infertility. In primary infertility group, most common laparoscopic finding was PCOD in 24(29%) women and in secondary infertility group, tubal blockage was seen in 9(40%) women. The most common pathology seen in hysteroscopy was submucous fibroid in 6(7.3%) women with primary infertility, whereas in secondary infertility group, synechiae was found in 2(9%) patients and septum was seen in 1(4.5%) patient. Out of 104 patients, 33 (31.7%) patients underwent various interventions. The most common intervention was ovarian drilling for PCOS in 21(63.3%) patients followed by hysteroscopic cannulation in 5(15.5%) patients.Conclusions: Hysterolaparoscopy is a very useful tool that can detect various structural abnormalities in multiple sites like uterus, tubes, ovaries and peritoneal cavity in the same sitting. When done by experienced hands and proper selection of patients, hysterolaparoscopy can be considered as a definitive investigative procedure for evaluation of female infertility.

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“…and has replaced certain old procedures like gas insufflations and even HSG in assessing the tubal patency. 4 With advances in imaging techniques such as high-resolution Trans vaginal sonography, 3D ultrasound, saline infusion sonography, HSG, need of laparoscopy for diagnosis of infertility is reduced. However, in the same sitting diagnostic laparoscopy can be converted into therapeutic procedure thus offering definitive management for the infertile couple.…”

Section: Discussionmentioning

confidence: 99%

The prospective study of laparoscopic finding in infertility cases

Shruti¹,

Sen²

2019

Int J Reprod Contracept Obstet Gynecol

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Infertility is the failure to conceive (regardless of cause) after 1 year of unprotected intercourse. Infertility affects approximately 10-15% of reproductive-aged couples. 2 Its overall prevalence has been stable during the past 50 years; however, a shift in etiology and patient age has occurred. As the woman's age increases, the incidence of infertility also increases.The common factors responsible for infertility in female are tubal factors, anovulatory disorder, endometriosis, uterine and cervical factors. 3 An accurate diagnosis the ABSTRACT Background: Infertility is a global reproductive health issue that affects many individuals and family. The aim of the present study was to evaluate the laparoscopic finding in infertility cases. Methods: Present study is a prospective study on laparoscopic evaluation of female infertility at Panna Dhai Mahila Chikitsalaya, Udaipur, Rajasthan, India. This study was done for the duration of one year from January 2017 to December 2017. Present study included total 100 cases randomly selected attending OBG OPD with both primary and secondary infertility. Results: Out of 100 cases infertile women 62 cases (62%) were of primary infertility and 38 cases (38%) were of secondary infertility. The mean duration of infertility was 3.7 years. Laparoscopic finding were as follow 42% had polycystic ovaries, 33% women had tubal pathology diagnosed on laparoscopy in which 22 women had tubal blocks diagnosed on chromopertubation and among them 19 had cornual block and 3 had ampullary block ,11% uterine finding and 7 women had adhesions in the pouch of douglas and one women had obliterated. About 20 women (20%) conceived during the period of study. Seven women had post laparoscopic complication two women complained of shoulder pain and another four of abdominal pain post operatively. Conclusions: Laparoscopy is the gold standard for diagnosing tubal factors, peritoneal factors, endometriosis and adhesions, because no other imaging technique provides the same degree of sensitivity and specificity and it should be considered in infertility workup for early treatment decision.

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Laparoscopic evaluation of female infertility in low socioeconomic status

Cited by 4 publications

References 15 publications

Laparoscopic Evaluation of Primary and Secondary Subfertility

Laparoscopic Evaluation of Primary and Secondary Subfertility

Role of hysterolaparoscopy in the evaluation of female infertility in a tertiary care centre

The prospective study of laparoscopic finding in infertility cases

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