Laparoscopy: As a First Line Diagnostic Tool for Infertility Evaluation

Jain, Geetika; Khatuja, Ritu; Juneja, Atul; Mehta, Sumita

doi:10.7860/jcdr/2014/9822.4929

Cited by 13 publications

(15 citation statements)

References 5 publications

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“…Recently Jain G et al analysed the results of 203 women, on whom, laparoscopy for the evaluation of infertility was done and observed that tubal disease was the responsible factor in 62.8% women with primary infertility and 54.8% women with secondary infertility followed by pelvic adhesions in 33% and 31.5%, ovarian factor in 14% and 8.5%, pelvic endometriosis in 9.9% and 6.1% women respectively which was consistent with the present study. 29 In contrast to the findings of the present study, Kausar N, et al reported leading causes of infertility as endometriosis and fibroid of the uterus. 30 Other prevalent causes of infertility noted were pelvic inflammatory disease (6.9% in primary infertility and 18.5% in secondary infertility), pelvic tuberculosis (in primary infertility) and polycystic ovaries (46.5% in primary and 30% in secondary infertility).…”

Section: Diagnostic Laparoscopycontrasting

confidence: 99%

Laparoscopic evaluation of female infertility in low socioeconomic status

Saini

Gupta

Rajurkar

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Infertility is a multidimensional health issue which is rising dramatically. The common causes include ovarian, uterine, tubal disorders, hormonal imbalance, age-related factors and lifestyle factors. The low economic strata poses a subset of problems like difficulty in seeking healthcare, treatment costs and poor compliance. Authors sought to evaluate the factors for primary and secondary infertility in women of reproductive age group who belong to low socio-economic strata using laparoscopy.Methods: A prospective observational study was conducted in the obstetrics and gynaecology department at Sanjay Gandhi memorial hospital, Delhi comprising 50 infertile women of reproductive age group belonging to low socioeconomic class for a period of 2 years from June 2015 onwards.Results: Among primary infertility, tuberculosis (27.02%), ovarian cyst (16.22%), adhesions (10.81%), polycystic ovaries (10.81%) and Pelvic inflammatory disease (10.81%) were the major findings whereas in secondary infertility Pelvic inflammatory disease (23.07%), tuberculosis (15.38%), adhesions (15.38%) and endometriosis (7.69%) were the major factors seen in the study.Conclusions: Tuberculosis and pelvic inflammatory disease were the major factors seen in infertile women of low socioeconomic status thus, they should be kept high on the list of differential diagnosis even if the investigative work up is negative.

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Section: Diagnostic Laparoscopycontrasting

confidence: 99%

Laparoscopic evaluation of female infertility in low socioeconomic status

Saini

Gupta

Rajurkar

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“…Our result is similar to the one reported by Mboudou et al who found 71.6% of tubo-peritoneal adhesions among infertile women who underwent laparoscopy in Yaoundé [7]. However, our result is high than 40.6% of pelvic adhesions reported by Mbaye et al among women who underwent laparoscopy at Dakar University Hospital and 33% of pelvic adhesions reported by Jain et al among women who underwent laparoscopy for infertility in India [5] [13]. The difference in the prevalence of pelvic adhesions can be explained by the difference in the characteristics of the study population, in the prevalence of sexually transmitted infection and in the frequency of past history of pelvic surgeries between these studies.…”

Section: Discussionsupporting

confidence: 89%

“…The high incidence of endometriosis observed in infertile women has led many investigators and clinicians to the assumption that there is a causal relationship between these two entities [21]. We identified endometriosis in 13.0% of cases which is close to 9% reported by Jain et al in India among infertile women underwent laparoscopy [13].…”

Section: Discussionsupporting

confidence: 72%

Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaoundé General Hospital, Cameroon

Ngowa

Kasia

Nkongo

et al. 2015

IJCM

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Background: Infertility is a global problem, but the highest prevalence is in low resource countries, particularly in sub-Saharan Africa where tubal damage following pelvic infection is the commonest cause. Objectives: This study aimed to assess contribution of laparoscopy as a diagnostic and therapeutic tool in infertile women in our setting. Methods: A descriptive review of complete medical records of 208 women who underwent laparoscopy at the Gynaecology Unit of Yaoundé General Hospital from December 2007 to December 2012. Results: Two hundred and eight women were enrolled in this study. Mean age was 32.6 ± 11.25 years. Infertility was secondary in 71.6% of cases; 125 (60.1%) women were married and 116 (55.8%) had a positive serology of Chlamydia trachomatis infection. The most frequent findings during diagnostic laparoscopy were: pelvic adhesions (83.7%), hydrosalpinx (21.6%), pyosalpinx (4.8%), perihepatic adhesions (25.5%), uterine fibromas (22.6%), pelvic endometriosis (13%) and ovarian abnormalities (10.1%). The surgical procedures during laparoscopy were: adhesiolysis (79.7%), tuboplasty (35.0%), salpingectomy (8.2%), ovarian cystectomy (5.8%) and myomectomy (1.9%). Three (1.4%) cases of uterine perforation and 1 (0.5%) case of laparoscopy conversion to laparotomy were observed. Conclusion: Diagnostic laparoscopy revealed that tubal lesions and pelvic adhesions were still the major causes of female infertility in developing countries. Adhesiolysis and tuboplasty were the most frequently performed surgical procedures during laparoscopy. Therefore, training in endoscopic

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“…These findings establish the role of hysterolaparoscopy in the evaluation of infertility. 9,10 Ovulatory dysfunction is one of the most common cause of infertility accounting 30-40% and Polycystic syndrome (PCOS) being the commonest finding associated with ovulatory dysfunction. 7,11 We report an incidence of 36.63% of patient had ovulatory dysfunction out of which PCOS constitutes 76 (22.82%).…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of endometriosis is highly variable, varies from 10% to 90%. 10,[13][14][15] In the developing countries due to the high incidences of tuberculosis and pelvic inflammatory disease (PID) up to 39-41% women were associated with infertility. 16 PID causes damage to the fallopian tube along with pelvic adhesions, both leading to impaired tubal function and infertility.…”

Section: Discussionmentioning

confidence: 99%

Role of hysterolaparoscopy for the evaluation of primary infertility: An experience from a tertiary care hospital

Pande

Dora

Pradhan

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONInfertility is one of the most common problem for which couple seeks medical attention. It is seen almost in 10-15% of the reproductive couple.1 Though there are various tests available for the evaluation of the patients with infertility, for the complete evaluation of pelvic pathology hysterolaparoscopy became the gold standard over the years. Ovulatory dysfunction accounts for 21% to 32%, tubal factor 14% to 26%, unexplained 8% to 30% and endometriosis accounts 4% to 6% of female infertility.2-4 Hysterolaparoscopy gives detailed and magnified view of uterine, adenexal, peritoneal and other intra-abdominal pathology. Consequently, milder degree of distal fimbrial pathology, endometriosis, and pelvic adhesions can be diagnosed and treated at the same time which was missed during a routine trans vaginal ultrasonography. The main objective of the study was to assess the role of diagnostic hysterolaparoscopy in the diagnosis and treatment of primary infertility patients. METHODSThis was a hospital based retrospective observational study. Medical records of all cases of primary infertility were retrieved and analyzed. This study was conducted ABSTRACT Background: Infertility is one of the most common problem for which couple seeks medical attention. The main objective of the study was to assess the role of diagnostic hysterolaparoscopy in the diagnosis and treatment of primary infertility patients. Methods: For this retrospective study, patient with the diagnosis of primary infertility were recruited. Patients admitted between the periods 2014 to 2016 were included. Pertinent data related to infertility were collected from the case records and entered in predesigned performa. Results: Patients with primary infertility 246 (82%) diagnosed to have pelvic pathology. The most common cause of infertility was ovarian 122 (36.63%), Uterine 66 (19.82%), tubal 84 (25.22%) and unexplained infertility in 103 (30.93%) women. Patients with PCOS 76 (22.82%) and endometriosis 46 (13.81%) treated with drilling and endometriotic cystectomy. In 32 (9.60%) of patients hysteroscopic cannulation was done. For distal tubal blockage fimbrioplasty was performed in 38 (11.41%) of women. Pelvic adhesions diagnosed in 26 (7.80%) women. patients diagnosed with uterine septum 42 (12.61%) required hysteroscopic septal resection. During the evaluation of infertility 70 (21%) of women diagnosed to have incidental pelvic pathology treated according to pathology. Conclusions: Hysterolaparoscopy is emerging as a valuable technique for complete assessment of female infertility and also helps in treatment according to the cause.

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Laparoscopy: As a First Line Diagnostic Tool for Infertility Evaluation

Cited by 13 publications

References 5 publications

Laparoscopic evaluation of female infertility in low socioeconomic status

Laparoscopic evaluation of female infertility in low socioeconomic status

Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaoundé General Hospital, Cameroon

Role of hysterolaparoscopy for the evaluation of primary infertility: An experience from a tertiary care hospital

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Laparoscopy: As a First Line Diagnostic Tool for Infertility Evaluation

Cited by 13 publications

References 5 publications

Laparoscopic evaluation of female infertility in low socioeconomic status

Laparoscopic evaluation of female infertility in low socioeconomic status

Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaound&#233; General Hospital, Cameroon

Role of hysterolaparoscopy for the evaluation of primary infertility: An experience from a tertiary care hospital

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Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaoundé General Hospital, Cameroon