Laparoscopic evaluation of tubo-peritoneal causes of infertility

Nahar, Shamsun; Jahan, Dilshad; Akter, Naznin; Das, Bishwajit

doi:10.3329/bmjk.v46i1-2.18234

Cited by 5 publications

(4 citation statements)

References 6 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study conducted in Khulna (India) maximum duration of infertility was within 1-6 yr. 9 In our study 12 patients had some or other menstrual irregularity. 15 Patients has history of PID, 4 patients had some tubal surgery in their past while 13 had some instrumentation by dai, 3 patients had H/O septic abortion & 5 had underwent D&C. In a study conducted in Hyderabad (Pakistan) among all who presented with secondary infertility 16.6% were asymptomatic while 27.2% had dyspareunia as commonest symptom.…”

Section: Discussionmentioning

confidence: 56%

Laparoscopic Evaluation of Tubal Factors in Infertile Patients

Aslam¹,

Azhar

Awais

2016

TPMJ

View full text Add to dashboard Cite

Objective: To evaluate tubal factor in infertility by Laparoscopy. Studydesign: Retrospective study. Setting: Department of Gynae and Obstetrics. IndependentUniversity Hospital, Faisalabad. Period: 01-Jan-2013 to 31-Dec-2015. Material and methods.Retrospective collection of data by convenience sample technique. Results: 52 patientsunderwent laparoscopy during the study period. Most patents 19(66%) were in age group of 31-35 yr. 29 (55%) had infertility of 9-15 yrs. 14(27%) had bilateral tubal block. 9(17%) had unilateralblock. 8(15%) had peritubal adhesions. 21(40%) had healthy & patent tubes. Tubal blockadewas more frequent in patients with secondary infertility (48%). Regarding complications, 4(4.6%)had pyrexia, 2(3.8%) had nausea & vomiting. 3(5%) had wound infection while none had anydamage to bowel or blood vessels. Conclusion. Laparoscopy is a safe and effective diagnostictool in evaluating tubal status of infertile patients.

show abstract

Section: Discussionmentioning

confidence: 56%

Laparoscopic Evaluation of Tubal Factors in Infertile Patients

Aslam¹,

Azhar

Awais

2016

TPMJ

View full text Add to dashboard Cite

show abstract

“…In 2013, Nahar S et.al examined the female pelvis by laparoscopy in 1200 patients and found the tubal and peritoneal factors as the leading causes of female subfertility with tubal factor present 15.8% had peritubal adhesions and 18.4% had bilateral blocked tubes while no tubal factor was identified in 52% 18 .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Evaluation of Tubal Factors in Female Subfertility

Khalid¹,

Khurshid²,

Yasin³

et al. 2022

PJMHS

View full text Add to dashboard Cite

Objective: The objective of this study was to evaluate frequency of tubal factors as a cause of female subfertility using laparoscopy. Study design: It was a cross-sectional study Setting: This study was conducted at Obstetrics and Gynecology department, Arif Memorial Teaching Hospital Lahore / Rashid Latif Medical College Duration of study: Study was done in 6 months [June 4, 2022 till December 4, 2022] Methodology: Using non probability consecutive sampling 179 females with primary and secondary subfertility who fulfilled the inclusion and exclusion criteria were enrolled in the study. Detailed demographics were recorded after taking informed written consent. Results: The mean age of participants was 29.12 ± 4.04 years with minimum and maximum age between 19 and 42 years. The mean duration of marriage was 7.13 ± 3.66 years with minimum and maximum duration of marriage between 3 and 17 years. The mean duration of subfertility was 5.32 ± 3.26 years with minimum and maximum duration of subfertility between 2 and 18 years. There were 137(76.5%) of the cases who had primary and 42(23.5%) females had secondary subfertility. A total of 56(31.2%) females had tubal factors and 123(68.7%) females did not have tubal factors as cause of subfertility. There were 39(21.8%) females who had Peri tubal adhesion, 17(9.5%) females had tubo ovarian mass. Among the 56 participants who had tubal factor presents 40 (22.3%) had bilateral blocked tubes Conclusion: Through the findings of this study , we concluded that 31.2% females had tubal factors subfertility, including 21.8% females with peri tubal adhesion and 9.5% females with tubo ovarian mass. 22.3% of the participants had bilateral blocked tubes. Hence proper evaluation of the female partner in a subfertile couple should be done by laparoscopy which is a superior tool for diagnosing tubal factors responsible for subfertility and tubal patency should also be confirmed before prescribing treatment such as ovulation induction. Keywords: Infertility, diagnostic laparoscopy, tubal factors, peri tubal adhesion, tubo ovarian mass, blocked tubes

show abstract

“…Tuboperitoneal factors accounts for up to 25-30% of infertility with varied and desired etiologies, pelvic peritoneal adhesion mostly sequels of prior infections from STD by Chlamydia trachomatics and N.gonorrhoea and post MR, abortion and delivery related to pelvic inflammatory disease(PID) 9 . Tubal occlusion, peritubal and periovarian adhesions are factors responsible for inhibition of ovum pick up and transport.…”

Section: Discussionmentioning

confidence: 99%

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

Laparoscopic evaluation of tubo-peritoneal causes of infertility

Abstract: Abstract

Cited by 5 publications

References 6 publications

Laparoscopic Evaluation of Tubal Factors in Infertile Patients

Laparoscopic Evaluation of Tubal Factors in Infertile Patients

Laparoscopic Evaluation of Tubal Factors in Female Subfertility

Laparoscopic Evaluation of Primary and Secondary Subfertility

Contact Info

Product

Resources

About