Laparoscopic Evaluation of Pelvic Organs In Case of Infertility

Objective: Evaluation of pelvic organs by laparoscopy in infertile patient. Background: Despite of absence of any known risk factor for infertility various studies indicate that there may be abnormalities in pelvic organ in about two-third of the cases, as evidenced by laparoscopic study. Present study was done to have an idea about the problem in a group of patients reporting to specialised centre. Materials and Methods: It was a prospective study which was undertaken in Gynaecology and Obstetric Department at BIRDEM during the period of January 2001 to December 2001. Results: The study group comprised 100 cases of infertile patients of age between 20 to 40 years. Sixty seven percent patients had primary infertility and 33% patients had secondary infertility. Size and shape of uterus was normal in 76% cases and bicornuate uterus was found in 2% cases. Laparoscopic Evaluation of Pelvic Organs In Case of Infertility MAHERUNNESSAa, CHOWDHURY TAb, JAHAN Sc, BEGUM Nd, SULTANA Se, RUMMAN Uf, RAHMAN Sf a. Dr. Maherunnessa, Registrar, Department of Obstetrics & Gynaecology, Ibrahim Medical College & BIRDEM b. Prof. T. A. Chowdhury,m Professor, Department of Obstetrics & Gynaecology, Ibrahim Medical College & BIRDEM c. Dr. Samsad Jahan, Associate Professor, Department of Obstetrics & Gynaecology, Ibrahim Medical College & BIRDEM d. Dr. Nurunnahar Begum, Assistant Professor, Department of Paediatrics, Sir Salimullah Medical College & Hospital. e. Dr. Samina Sultana, Training Coordinator, icddrb, Dhaka f. Dr. Umme Rumman, Dr. Shahnaz Rahman, Medical Officer, Department of Obstetrics & Gynaecology, BIRDEM, Dhaka Address of Correspondence: Dr. Maherunnessa, MBBS, FCPS (Obstetrics & Gynaecology), Registrar, Department of Obstetrics & Gynaecology, Ibrahim Medical College & BIRDEM Hospital, Tele: 01817 049296, Email : [email protected] Received: 15 November, 2012 Accepted: 09 July, 2013 Right ovary was normal in 51%patient and left ovary was normal in 53%. Polycystic changes of right ovary were observed in 23% and of left ovary in 22% cases . Right fallopian tube was normal in 71% and left fallopian tube was normal in 69% cases. Patency of right fallopian tube was found in 89%and patency of left fallopian tube was found in 90%. Eleven percent patients were found to have peritubal adhesion on right side and 10% on left side. Pouch of Douglas was found to be normal in 69% cases and 9% cases had adhesion with obliteration. Conclusion: Laparoscopy is an important tool for diagnosing anatomical and pathological abnormalities of internal genital organs which plays a major role in infertility management. For treating infertility, we should give appropriate importance on laparoscopic evaluation of pelvic organs.