Diagnostic Laparoscopy in Infertility - A Retrospective study

Shetty, Shraddha K; Shetty, Harish

doi:10.7439/ijbr.v4i7.318

Cited by 2 publications

(5 citation statements)

References 15 publications

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“…2 According to data published in retrospective non-controlled studies, diagnostic laparoscopy after several failed cycles of ovulation induction enables the detection of a significant proportion of pelvic pathology amenable to treatment. 3 A Cochrane review has shown that laparoscopic ovarian diathermy in clomiphene-resistant polycystic ovarian syndrome is at least as effective as gonadotrophin treatment, and results in a lower multiple pregnancy rate. In a recent publication from Royal College of Obstetricians and Gynaecologists (RCOG) green top guideline, laparoscopic ovarian drilling was labeled as second line of treatment in PCOS.…”

Section: Discussionmentioning

confidence: 99%

“…Ordinary examinations, such as hormonal testing, hysterosalpingography (HSG) and semen testing, fail to reveal a specific cause of infertility in one-third of cases. 3 Infertility as a consequence of tubal factors is common in women. Laparoscopy is very useful in diagnosing and treating tubal infertility because it provides important information about the pelvic cavity.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have shown that the incidence of unsuspected pelvic pathology found at laparoscopy is about 50%. 3 In this study, we analysed the pregnancy outcome after laparoscopic examination of infertile patients seen at our hospital to evaluate the role of laparoscopy in infertility. The aim of this study was to report the observations from a longitudinal long-term study of women who underwent diagnostic laparoscopy as well as laparoscopic ovarian drilling (LOD).…”

Section: Introductionmentioning

confidence: 99%

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A follow-up study on fertility and menstrual pattern in infertile patients after laparoscopy in a tertiary care hospital in Bangladesh

et al. 2020

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Background: Routine use of diagnostic laparoscopy for the evaluation of all cases of female infertility is under debate. Until now, laparoscopy has been widely used as a diagnostic and therapeutic means of treating infertility. This study investigates the fertility outcome for women 2 to 3 years after laparoscopic management. It assessed the benefit and effectiveness of both diagnostic and laparoscopic ovarian drilling regarding reproductive outcome and menstrual regularity. Methods: From May 2013 to November 2014, a total of 303 infertile women undergoing laparoscopy at BIRDEM Hospital, were asked to participate in the study. Sixty subjects were lost to follow up making the study sample size 243. Results: Mean age at the time of laparoscopy was 29.86 ± 4.6 (range 21 - 43) years, 61.7% of women (150 cases) were nulliparous, 38.3% (93 cases) had one child, abortion or ectopic pregnancy. From the time of index surgery to follow-up, 40.3% (98) of women who had tried to conceive had home pregnancy test positive and 25.5% (62) had a live birth following their surgery. Among these 62 subjects, 33 underwent Laparoscopic Ovarian Drilling (LOD) and other 29 had diagnostic laparoscopy along with or without other laparoscopic manipulations. A Chi-square test has revealed that there was significant increase in regularization of menstrual cycle among irregularly menstruating women after laparoscopy indicating regular ovulatory cycles. Conclusion: Laparoscopic procedures can lead to positive results while treating infertility as well as menstrual disturbances, thus establishing a defined position in current fertility practice. Birdem Med J 2020; 10(2): 125-129

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A follow-up study on fertility and menstrual pattern in infertile patients after laparoscopy in a tertiary care hospital in Bangladesh

et al. 2020

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“…Various studies like that of Shetty et al and Krishna C et al have shown that there is rise in age at which women present with infertility. 4,6 In present study, 3 (3.7%) patients of primary infertility and 6 (26.1%) of secondary infertility were of age >30 years. Because of the decline in fertility and the increased time to conception that occurs after the age of 30, women >30 years of age should be referred for infertility work-up after 6 months of trying to conceive.…”

Section: Discussionmentioning

confidence: 99%

“…2,3,6 In the present study, majority of the primary infertility patients belong to age group of 26-30 yrs (52.9%) and secondary infertility to age group of 26-30 yrs (56.9%). Various studies like that of Shetty et al and Krishna C et al have shown that there is rise in age at which women present with infertility.…”

Section: Discussionmentioning

confidence: 99%

Correlation of ultrasonography, hysterosalpingography and hystero-laparoscopy findings in cases of infertility

Shaikh

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Infertility is a condition which has medical as well as social impact on the state of the couple. Approximately 10-15% couples are infertile. A wide arena of tests is available for the diagnosis of the causes of infertility. The aim of present study is to correlate the findings of ultrasonography, hysterosalpingography and hysterolaparoscopy in infertility.Methods: It is a prospective study done over 2 years at INHS Asvini hospital, Mumbai. Infertile women underwent ultrasonography, hysterosalpingography and hystero-laparoscopy. Data was assessed using SPSS 17 software.Results: Of 105 patients, on ultrasonography, 22.9% had Polycystic ovaries (PCO), 2.9% had ovarian cyst, 4.8% had fibroid, 4.8% had endometrioma, 3.8% had adnexal mass, 3.8% had polyp. On hysterosalpingography, 18 (17.1%) had left and 20 (19%) had right tubal block, 11 (10.47%) had B/L tubal block, 6 (5.7%) had septate uterus, 6 (5.7%) had hydrosalpinx. On laparoscopy, 12 (11.4%) had PCO, 4 (3.8%) had ovarian cyst, 12 (11.4%) had fibroid, 7 (6.7%) had endometrioma, 19 (18.1%) had left and 18 (17.1%) had right tubal block, 12 (11.42%) had B/L tubal block, 4 (3.8%) had hydrosalpinx. On hysteroscopy, 7 (6.7%) had septate uterus, no polyp seen.On laparoscopy, 21 (20%) had endometriosis, 1 (1.9%) had bicornuate uterus.Conclusions: On comparing the results it was observed that hysterolaparoscopy gives definitive diagnosis and should be considered gold standard, though other modalities of investigation should be considered complimentary and not competing with it, as they are noninvasive.

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Diagnostic Laparoscopy in Infertility - A Retrospective study

Cited by 2 publications

References 15 publications

A follow-up study on fertility and menstrual pattern in infertile patients after laparoscopy in a tertiary care hospital in Bangladesh

A follow-up study on fertility and menstrual pattern in infertile patients after laparoscopy in a tertiary care hospital in Bangladesh

Correlation of ultrasonography, hysterosalpingography and hystero-laparoscopy findings in cases of infertility

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