Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-4 | Issue-10 | 380-384
Original Research Article
“Role of Diagnostic Laparoscopy in Evaluation of Pelvic Organ in Case of Infertile Women”
Pratima Rani Biswas, T. A. Chowdhury, Rahima Begum, Meherunnesa Mukta
Published : Oct. 9, 2021
Abstract
Aim and Objective: The aim of the study is to present the findings of different pelvic organs by laparoscopy in cases of infertile patient and correlate the infertile patient and correlate the infertility with the following factors: Ovaries – whether ovulation occur or not or any other pathology, Tubes-whether normal or any pathology, If there is any pelvic adhesion, mass or collection, Uterus normal or any abnormalities, Other pathology. Methods: The study group comprised 200 cases of infertile patients who were admitted and treated in the department of Gynecology and obstetrics in BIRDEM, Dhaka, Bangladesh during the period of January 2000 to December 2001. This patient includes both primary and secondary infertility cases, and the patients of 20-40 years ages were included in this study. Those patients whose husbands had abnormality in semen analysis were exclude from this study and also the patients whose age were above 40 years and below 20 years were also excluded from the study. Before Admission, assessment of these patients was carried out carefully before starting the endoscopic procedures. A full history was taken which was followed by thorough general, abdominal and pelvic examinations then Laparoscopy was performed under general anesthesia. Results: The mean age ranged from 20 to 40 years. Among them 114 (57%) patients were aged between 21 to 30 years. Laparoscopic findings showed that 138 (69%) patients had normal uterus while 62 (31%) had abnormalities of uterus. Among them 18 (9%) had uterine myomas. Right tube One hundred and fourteen (70%) had normal tubes and left tube one hundred and thirty six (68%) had normal tubes. Peritubal adhesions of right tube were 20 (10%) and Peritubal adhesions of left tube were 22 (11%), bilateral tubal block had 6 (3%). One hundred and forty four (72%) patients had normal pelvic peritoneum, 26 (13%) had pelvic adhesions, probably from pelvic inflammatory diseases and 10 (5%) had frank endometriosis. One hundred (50%) had normal ovaries, 48 (24%) in right side & 46 (23%) in left side had polycystic ovaries (PCO), 10 (5%) in ride side & 12 (06%) in left side had periovarian adhesions 10 (5%) in right side & 12 (06%) in left side had simple ovarian cysts and 10 (5%) in right side & 12 (06%) in left side had endometriotic (chocolate) cysts. Conclusion: Ovarian pathology was the highest pelvic abnormality (80%) followed by uterine pathology 31% & tubal pathology 24%.