Diagnostic Laparoscopy in the Evaluation of Female Factors in Infertility in Kashmir Valley

Ain, Wani Qurat Ul; Ara, Rifat; Ahmad, Dangroo Sajad; Mehbooba, Beig

doi:10.15296/ijwhr.2014.08

Cited by 5 publications

(6 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It was comparable with studies conducted by Nayak KP et al, Shetty KS et al, Vaid K et al and Shah JS et al [7][8][9][10][11] Present study revealed abnormal laparoscopic findings in 73% patients and abnormal hysteroscopic findings in 47% patients. Forty% (40) patients had abnormal findings on laparoscopy alone and 14 (14%) patients had abnormal findings on hysteroscopy alone which was similar to the study conducted by Singh R et al 9 Mean age of patients with primary infertility was 28.6±4.20 years and with secondary infertility was 32.1±3.84 years (34%) that was comparable to the studies conducted by Shetty KS et al, Wani Q et al and Chimote A et al 8,12,13 In present study, uterine myoma was the most common abnormality found on hysteroscopy similar to Shah JS et al (8%), depicting that myomas influence infertility. 40% patients had only abnormal laparoscopic findings while 33% of patients had abnormalities on both hysteroscopy and laparoscopy resulting in total of abnormal findings in 73% patients.…”

Section: Discussionsupporting

confidence: 82%

Combined hysteroscopy and laparoscopy in evaluation of female infertility

Gandotra

Rizvi

Sharma

2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Infertility has always been one of the most elusive symptom complexes that perplex the best gynecologists and affects about 10-15% of reproductive age couples.Methods: This descriptive study was conducted in the Postgraduate Department of Obstetrics and Gynaecology at Government Medical College, Jammu for a period of 18 months in which 100 infertile females attending OPD for infertility workup were subjected to detailed relevant history taking followed by physical examination. Diagnostic hysteroscopy and laparoscopy along with laparoscopic chromopertubation was carried out after written informed consent including minimal therapeutic interventions if required.Results: Out of 100 patients included in the study, 67 (67%) presented with primary infertility and 33 (33%) presented with secondary infertility. Combined laparoscopy and hysteroscopy was normal in 13% (13) of cases. Out of 100 patients, abnormal laparoscopic findings were noted in 73% of patients: Endometriosis ( 13%),Polycystic ovaries (12%), Unilateral tubal block (11%), Pelvic inflammatory disease (9%).Abnormal hysteroscopic findings were noted in 47% of patients: Submucous myoma (8%),unilateral ostial block (8%),Endometrial polyp (7%), Hyperplasic endometrium (7%), Cervical stenois (6%).Most common cause of infertility in present study on Combined hysteroscopy and laparoscopy was Endometriosis (13%) followed by Polycystic ovaries (12%),Uterine myoma (12%) out of which 5% myomas were diagnosed on laparoscopy and 8% on hysteroscopy and 1% had myoma diagnosed on both hysteroscopy and laparoscopy. In the primary infertility group most, common finding was Polycystic ovaries (16.4%) followed by Endometriosis (14.9%) and uterine myoma (14.9%) while in patients suffering from secondary infertility, most patients had Bilateral tubal block (18.2%), Pelvic inflammatory disease (12.1%), Unilateral tubal block (12.1%), intrauterine adhesions (12.1%).Conclusions: Combined Hysteroscopy and Laparoscopy is a quintessential tool that provides cost-effective, comprehensive and single set-up diagnostic aid in infertile patients.

show abstract

Section: Discussionsupporting

confidence: 82%

Combined hysteroscopy and laparoscopy in evaluation of female infertility

Gandotra

Rizvi

Sharma

2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…The World Health organization (WHO) estimates that 60 to 80 million couples worldwide currently suffer from infertility. Infertility varies across regions of the world and is estimated to affect 8 to 12 percent of couples worldwide 6 .…”

Section: Discussionmentioning

confidence: 99%

“…A single episode of PID carries upto 10 % risk of future tubal factor infertility 6 . In our study PID, hydrosalphinx, TO mass were present in 5.15% and 7.59% in primary and secondary infertility respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Genital tract tuberculosis is an important cause of infertility especially in endemic zones. Genital tuberculosis not only cause tubal obstruction and dysfunction but also impairs implantation due to endometrial involvement and ovulatory failure from ovarian involvement 6 . Our study revealed genital tract tuberculosis in 1.47% and 1.27% cases of primary and secondary infertilty respectively.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Evaluation of Primary and Secondary Subfertility

Kasem

Sultana

Begum

et al. 2020

Bangladesh J Obstet Gynaecol

View full text Add to dashboard Cite

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

show abstract

“…Thus, it is considered as an important tool not only in diagnosis of infertility but also in the treatment of selected cases. 8 In the present study, an effort was made to establish the role of laparoscopy in primary and secondary infertility cases in women and to detect the diagnostic efficacy of laparoscopy in uterine, pelvic and ovarian pathologies.…”

Section: Introductionmentioning

confidence: 99%

Role of diagnostic laparoscopy in infertility

Panchal¹,

Shah²

2016

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Use of diagnostic and therapeutic laparoscopy in 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. Methods: This prospective study included 50 infertile women and it was conducted at department of Obstetrics and Gynaecology, Smt. N.H.L. Municipal Medical College, Ellisbridge, Ahmedabad during the period between May 2006 to November 2008. 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 50 patients, 34 were of primary infertility cases and 16 were of secondary infertility. In primary infertility maximum number of patient belonged to age group of 21-25 years where as secondary infertility were under the age group 26-30 years and above 31 years of age. In primary infertility 65% patients had active marriage life duration of 2-4 years, while in secondary infertility cases 81% of patients had marriage life age of more than 6 years. Out of 50 patients, 14 (28%) had absolutely normal laparoscopic findings. Among the various pathologies observed, ovarian pathology contributed the most (36%), followed by tubal (26%), pelvic (22%) and uterine (10%) pathologies. Conclusions: Laparoscopy is safe and cost effective method and should be considered as prime diagnostic tool for evaluating the etiology of infertility in women and for effective treatment decisions.

show abstract

Diagnostic Laparoscopy in the Evaluation of Female Factors in Infertility in Kashmir Valley

Cited by 5 publications

References 26 publications

Combined hysteroscopy and laparoscopy in evaluation of female infertility

Combined hysteroscopy and laparoscopy in evaluation of female infertility

Laparoscopic Evaluation of Primary and Secondary Subfertility

Role of diagnostic laparoscopy in infertility

Contact Info

Product

Resources

About