Nadia Khurshid, Farhan Sadiq, Arjumand Iftikhar.
Consecutive 300 Diagnostic Laparoscopies at Arif Memorial Teaching Hospital, Lahore.
Pak J Med Health Sci Jan ;6(4):850-3.

Objective: To evaluate the etiological factors of primary and secondary infertility through laparoscopy. Design: Case series. Material and Methods: 300 diagnostic laparoscopies during a period of 18 months were done primarily to evaluate the infertile patients between Feb 2011- Aug 2012 at Arif Memorial Teaching Hospital Lahore. Results: Of 300 infertile women who underwent laparoscopy, 189 had (63%) primary infertility. While 111 (37%) had secondary infertility .86 (45.5%) patients with primary and 26 (23.42%) patients with secondary infertility had no visible abnormality.The common finding was tubal blockage in 5 (2.64%) and 15 (13.51%) cases of primary and secondary infertility respectively.34(17.99%) cases of primary infertility were detected as polycystic ovaries which was found in 5(4.50%) cases of secondary infertility. Endometriosis was found in 9 (4.76%) cases of primary infertility and none with secondary infertility. Pelvic inflammatory disease was found in 11 (5.8%) and 19 (17.12%) cases of primary and secondary infertility respectively. Multiple factors including adhesions were detected in 28 (14.81%) cases with primary infertility and 40 (36.03%) cases with secondary infertility. Fibroid was found in 10 (5.29%) and 4 (3.60%) cases of primary and secondary infertility respectively. The ratio of positive findings in secondary infertility was significant in comparison with positive findings in primary infertility. Conclusion: The ovulatory disorders were common in primary infertility, while secondary infertility had multiple factors involved. And the data obtained strongly recommends laparoscopy as an integral part of the infertility investigations.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals -