Laparoscopic evaluation of tubal factor in cases of infertility

Abstract

Background: Tubal factor infertility accounts for approximately 25-35% of cases of female infertility. The evaluation of the fallopian tube is necessary to determine the management plan for infertility. Tubal patency can be diagnosed by hysterosalpingography (HSG) or laparoscopy with chromopertubation. The aim of this study was to determine the role of laparoscopy in the evaluation of tubal factor in infertile women. Methods: Fifty women presenting with complaints of primary and secondary infertility were investigated for tubal disease by laparoscopy at K. S. Hegde Charitable Hospital, Mangalore, from January 2007 to July 2008. Tubal patency was tested by chromopertubation using Methylene blue dye. Results: Thirty four (68%) patients were in primary infertility group while 16 (32%) patients were in secondary infertility group. 88% women were in the age group of 21 to 35 years. In 64% of women, the duration of infertility was between 1 to 5 years whereas 32% cases had been infertile for 6 to 10 years. Tubal pathology was detected in 64.7% cases of primary infertility and 68.7% cases of secondary infertility. Bilateral tubal occlusion was found in 8% and unilateral occlusion in 28% cases. Conclusion: Laparoscopy is an effective diagnostic tool for evaluation of tubal pathology. Laparoscopy and chromopertubation test should be recommended as a first step in the investigation of infertile women with tubal factor. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 410-413

Laparoscopic Evaluation of the Tuboperitoneal Factors in Infertility

“…4 In another similar study Shetty SK et al showed endometriosis in 12 (24%) cases and peritubular adhesion in 4 (8%) cases where endometriosis was higher but adhesion was lower than our study. 5 Gulfarreen Haider et al observed endometriosis in 13 (43%) cases which was also higher than our study. 6 The higher rate of endometriosis may be due to delayed marriage, postponement of first conception and increased use of diagnostic laparoscopy.…”

“…7 Another study done by Shetty SK et al show, bilateral tubal block in 8% and unilateral tubal block in 28% cases which were higher than our study. 5 Ikechebelu JI and Mbamara SU reported a higher…”

Role of diagnostic hysterolaparoscopy in evaluation of female infertility

“…8 Tubal and peritoneal pathology account for infertility in 30-35% of the cases. 9 Most common hysteroscopic abnormality detected was septate uterus in primary infertility group (14.28%) ( Table 3). Uterine pathologies are responsible for 15% of infertility patients who seek treatment.…”

Subfertile Women; Frequency of Factors Leading to Tubal Blockage Evaluated by Laparoscopy

“…However in a study by Mahmood et al, the incidence of endometriosis was 13.6%. 18 In the study of Shetty et al this incidence was 18.0% 8 and Aslam et al and asghar et al reported 25.0% incidence of endometriosis in their studies. 19,20 Our study supported the results of these studies.…”

“…7 Genital tuberculosis is also a cause of tubal blockage in developing countries like Pakistan, Bangladesh, India and Nepal. 8 Laparoscopy hysterosalpingography (HSG), and hystroscopy are techniques used to investigate tubal defects. Laparoscopy has a vital role in the diagnostic evaluation of women with infertility.…”