Laproscopic Evaluation of Primary Infertility Causes and Post Procedure Complications among Infertile Females from a Tertiary Care Hospital of Karachi

Abstract

Background: Infertility is a common problem globally affecting a large proportion of world population. Laparoscopy provides meaningful information regarding different factors that may cause infertility.

Objective: To determine the frequency of causes of primary infertility in women by diagnostic laparoscopy.

Study Design: Cross sectional study design

Setting: Study was performed at the Department of Obstetrics and Gynecology, Jinnah Postgraduate Medical Centre, Karachi

Duration: September 2011 to February 2012

Subjects and Methods: 86 patients with primary infertility were included in the study and underwent laparoscopy for deter – mining causes of infertility. Data was analyzed on SPSS, frequencies and percentages were determined for qualitative variables while mean and standard deviation was determined for quantitative variable.

Results: Eighty six females were included in the study with mean age of 28.6 + 5.2 years and mean duration of infertility was 4.9 + 1.9 years. Findings on laparoscopy were analyzed and 51.2% of females were found with tubal blockage, while other findings were; hydrosalpinx in 25.6%, PCOs in 22.1%, Ovarian abnormalities in 38.4%, Pelvic adhesions in 38.4% and uterine congenital anomalies in 3.5%.

Conclusion: Tubal diseases found to be one of the major factor causing primary infertility and diagnostic laparoscopy will play a valuable role in early and prompt diagnosis and management of causes leading primary infertility.

Key Words: Primary Infertility, Diagnostic Laparoscopy, Tubal Blockage, PCOs, Pelvic Adhesions, Hydrosalpinx.