부산대학교 도서관

Objective: To report the frequency of causes of female infertility by laparoscopy in females presenting in a tertiary care hospital Materials & Methods: This Cross-sectional study was conducted at the Department of Obstetrics & Gynecology, Shalimar Hospital, Lahore from July 01, 2020, till July 31, 2021. A total of 370 females fulfilling the selection criteria were selected from the operation theatre. Informed consent was obtained from each case. Demographic information (name, age, BMI, duration of marriage, type of infertility, and parity) will also be noted. Then females underwent laparoscopy under general anesthesia researchers. On laparoscopy, the pelvis was inspected, including the uterus, fallopian tubes, round ligaments, ureterovesical pouch, uterosacral ligaments, and Pouch of Douglas. The tubes were inspected for any abnormality in their length and shape and patency was checked by a retrograde dye test. Both ovaries were examined regarding their size, shape, thickness of peripheral follicles, evidence of ovulation, and their relationship with the fimbrial end of the tubes. Peritubal, periovarian and omental adhesions, tubo-ovarian masses, endometriotic deposits, fibroid, presence of fluid in the Pouch of Douglas, or any other pathology, if the present was noted. Data was entered and analyzed in SPSS version 21.0. Results: The mean age of our cases was 33.93 ± 5.81 years with minimum and maximum ages of 18 and 45 years. According to the etiology of infertility, 5(1.4%) cases had unexplained infertility, 140(37.8%) cases had tubal infertility, 60(16.2%) cases had polycystic ovaries, 41(11.1%) cases had Peritubal and peri-ovarian adhesion, 71(19.2%) cases had endometriosis, 38(10.3%) females had fibroids and 20(5.4%) cases had an ovarian cyst. Conclusion: We conclude that on diagnostic laparoscopy the frequency of causes of female infertility was found to, be tubal infertility (37.8%), followed by endometriosis (19.2%), polycystic ovaries (16.2%), Peri-tubal and periovarian adhesion (11.1%), fibroids (10.3%), ovarian cyst (5.4%), unexplained infertility (1.4%). [ABSTRACT FROM AUTHOR]