Role of Laparoscopy in Evaluation of Primary Infertility

Abstract

Background: Most of the couples conceive during first year of marriage and majority of the rest conceive during the second year. Few misfortune couples unable to conceive. Female factor are most common. Laparoscopy is a useful tool to evaluate female factor of infertility.

Aim: To find out the frequency of common causes of primary infertility in females undergoing laparoscopy.

Method: This is a retro respective cross sectional study, conducted in Health Care Centre (pvt) Ltd, Peshawar from July 2020-December 2021.All medically fit females having regular unprotected intercourse for at least one year and normal semen analysis report presented with infertility underwent laparoscopy after taking informed consent. Females with previous surgeries were excluded. Data was collected. Frequency and percentages of different causes of infertility calculated. Data was analyzed on SPSS.

Result: Primary infertility was seen in 140 out of 210 patients. Among primary infertility 36 patients had normal laparoscopic finding. The common finding were PCOs 44 (31.4%), tubal factor, 23 (16.4%), fibroid 14 (10%), pelvic adhesions 10(7%), endometriosis 6 (4.3%), simple ovarian cyst 4(2.5%) & PID 3(2%).

Conclusion: Life style modification should be advised at early ages. Laparoscopy has a beneficial role in evaluation of primary infertility.