Role of Laparoscopy in Female Infertility

Author(s): Laila Zeb, Anum Malik

Background: Infertility is the failure of couple to achieve a clinical pregnancy after 12 months or more of unprotected sexual intercourse. Laparoscopy is an important diagnostic procedure to identify the causes for infertility.

Aim and Objective: Emphasis on role of laparo-scopy in diagnosing causes for female infertility.

Material and method: This Cross-sectional study was conducted in Obstetrics and Gynecology A Unit of Medical Teaching Institute, Lady Reading Hospital, Peshawar from 1st January 2019 till 31st December 2019. Sample size was 221 calculated by using Open-Epi calculator. The patients who refused procedure or with male factor infertility or having medical disorders like hypertension, cardiac disease, un- controlled diabetes were excluded. Non-probable convenient sampling technique used and a structured questionnaire filled. P-value > 0.005 and 95% Confidence interval considered as significant. Data analyzed using SPSS version 20. For statistical analysis, frequencies, percentages and Mean ± SD were used for continuous variables. Results: Total 221 patients were selected. 158 (71.4%) patients had primary, 63 (28.5%) secondary infertility. Mean age at presentation 27.6 years and 28.8 years in primary and secondary infertility. The mean duration of marriage was 4.51 years in primary and 5.05 years in secondary infertility. 180 (81.4%) patients had pelvic pathology, 41 (18.5%) had normal findings. Pathologies in primary infertility were Polycystic ovaries (PCO) 29(18.5%), Pelvic inflammatory disease (PID) 38(24.05%), blocked tubes 23 (14.43%), Endometriosis 22 (14%), and fibroid uterus 09(5.6%). In Secondary infertility, PCO 43(19.4%), PID 20(32%), blocked tubes 19 (30%), Endometriosis 27 (12.2%) and fibroid uterus 10(4.5%).

Conclusion: Laparoscopy is minimally invasive, convenient, safe and economic procedure for diagnosis of infertility in fem