STUDY OF LAPAROSCOPIC EVALUATION OF FEMALE FACTORS IN INFERTILITY AT ANMMCH, GAYA, BIHAR

2021 ◽  
pp. 60-62
Author(s):  
Pankaj Kumar Chaudhary ◽  
Anupam Chaurasia ◽  
Lata Shukla Dwivedy ◽  
Debarshi Jana
Keyword(s):  
Diagnostic Laparoscopy ◽  
Polycystic Ovaries ◽  
Male Factor ◽  
Secondary Infertility ◽  
Infertile Women ◽  
Medical College ◽  
Primary Infertility ◽  
Common Causes ◽  
Tubal Blockage ◽  
Laparoscopic Evaluation

Objective:To nd out different causes of female infertility with diagnostic laparoscopy and their comparative frequency in primary and secondary infertility. Study Design:Acase series. Place and Duration of Study: Department of Obstetrics and Gynaecology, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, August 2018 to July 2019. Methodology:All infertile women underwent diagnostic laparoscopy for primary and secondary infertility during the study period were included. Couples who had not lived together for at least 12 months, and those with male factor infertility were excluded. Data were collected on a proforma, and analysed on SPSS package for windows version 10. Frequencies were calculated for laparoscopic ndings regarding primary and secondary infertility. Results: Fifty infertile women underwent laparoscopy during the study period, 32 (64%) had primary infertility while 18 (36%) secondary infertility. Eight (25.0%) patients with primary and 2 (11.1%) patients with secondary infertility had no visible abnormality. The common nding was tubal blockage in 7 (21.9%) and 6 (33.3%) cases of primary and secondary infertility respectively. Five (15.6%) cases of primary infertility were detected as polycystic ovaries (PCO) which was not found in cases of secondary infertility. Endometriosis was found in 4 (12.5%) cases with primary infertility and 2 (11.1%) cases with secondary infertility. Pelvic inammatory disease (PID) was found in 1 (3.1%) and 2 (16.7%) cases of primary and secondary infertility respectively. Peritubal and periovarian adhesions were detected in 2 (6.3%) cases with primary infertility and 4 (22.2%) cases with secondary infertility. Fibriod was found in 2 (6.3%) and 1 (5.6%) cases of primary and secondary infertility respectively. Ovarian cyst detected in 2 (6.3%) cases with primary infertility while none was found in cases of secondary infertility. Conclusion: Most common causes responsible for infertility were tubal occlusion, endometriosis, peritubal and periovarian adhesions. Ovarian causes were seen in primary infertility only

scholarly journals Laparoscopy as a diagnostic tool in evaluation of female factors in infertility

2017 ◽  
Vol 6 (3) ◽  
pp. 864 ◽  
Author(s):  
Chaitra Krishna ◽  
Prathima S. ◽  
Savitha Chandraiah ◽  
Anitha G. S.
Keyword(s):  
Diagnostic Laparoscopy ◽  
Polycystic Ovary ◽  
Well Being ◽  
Common Finding ◽  
Infertile Couple ◽  
Polycystic Ovaries ◽  
Male Factor ◽  
Secondary Infertility ◽  
Infertile Women ◽  
Primary Infertility

Background: Infertility leads to considerable personal suffering and disruption of family life. According to United Nations "Reproductive health is a state of complete physical mental and social well-being and not merely the absence of disease or infirmity in all matters relating to the reproductive system and to its functions and processes". The objective of present study was to find out different causes of female infertility with diagnostic laparoscopy and their comparative frequency in primary and secondary infertility.Methods: It is a prospective study conducted on all infertile women and they underwent diagnostic laparoscopy for primary and secondary infertility during the study period. Couples who had not lived together for at least 12 months, and those with male factor infertility were excluded. Data were collected on a proforma, and analyzed on SPSS package for windows version 10. Frequencies were calculated for laparoscopic findings regarding primary and secondary infertility.Results: Fifty infertile women underwent laparoscopy during the study period, 35 (70%) had primary infertility while 15 (30%) secondary infertility. 10 (28.5%) patients with primary and 3 (20%) patients with secondary infertility had no visible abnormality. The common finding was tubal blockage in 10 (28.5%) and 5 (33.3%) cases of primary and secondary infertility respectively. 9 (25.7%) cases of primary infertility were detected as polycystic ovaries (PCO) and 2 (13.3%) in cases of secondary infertility. Endometriosis was found in 1 case with primary infertility and 2 (13.3%) cases with secondary infertility. Fibroid was found in 3 (8.57%) and 1 (6.6%) cases of primary and secondary infertility respectively.Conclusions: Most common causes responsible for infertility were tubal occlusion and polycystic ovary. Infertile couple should be thoroughly investigated. Laparoscopy in infertility can be used for a definitive diagnosis.

scholarly journals Evaluation of cases of infertility by diagnostic laparoscopy

2017 ◽  
Vol 6 (3) ◽  
pp. 924
Author(s):  
Sachin Wankhede ◽  
Sarika Thakare ◽  
Nivedita Goverdhan ◽  
Santosh Shahane
Keyword(s):  
Diagnostic Laparoscopy ◽  
Male Factor Infertility ◽  
Polycystic Ovaries ◽  
Male Factor ◽  
Secondary Infertility ◽  
Primary Infertility ◽  
Therapeutic Benefits ◽  
Obstetrics And Gynaecology ◽  
Uterine Anomalies ◽  
Tubal Disease

Background: Infertility affects nearly 10-15% of couples and is an important part of clinical practice. Leading causes of infertility include tubal disease, ovulatory disorders, uterine or cervical factors, endometriosis and male factor infertility. The objective of the study was to find out different causes of female infertility with diagnostic laparoscopy.Methods: This was a descriptive study conducted from February 2012 to November 2013. 115 patients with infertility attending the infertility clinic in OPD of Obstetrics and Gynaecology were evaluated clinically with detailed history. The necessary investigations were carried out and the laparoscopic findings were documented.Results: There were 91 cases (79.13%) with primary infertility and 24 (20.87%) with secondary infertility. Laparoscopy revealed normal findings in 14 cases (15.38%) of primary infertility and 1 case (4.17%) of secondary infertility. Pelvic abnormality was found in 100 cases (86.95%). Tubal block was the most common pathology found in 36 cases (31.30%) followed by polycystic ovaries in 32 (27.83%) and adhesions in 24 (20.87%). Uterine anomalies were found in 3 cases (3.30%).Conclusions: Diagnostic laparoscopy is a valuable technique and a mandatory investigation, which, though invasive, is more convenient and more precise for the diagnosis of infertility. Because of its potential diagnostic as well as therapeutic benefits, all patients with infertility should undergo diagnostic laparoscopy as part of their primary workup of infertility.

scholarly journals Laparoscopic Evaluation of Female Factor in Bangladeshi Infertile Couple

2019 ◽  
Vol 33 (1) ◽  
pp. 29-35
Author(s):  
Umme Ruman ◽  
TA Chowdhury ◽  
Nusrat Mahmud ◽  
Tanjeem S Chowdhury ◽  
Samira H Habib
Keyword(s):  
Clinical History ◽  
Cross Sectional Study ◽  
Pelvic Surgery ◽  
Treatment Modalities ◽  
Infertile Couple ◽  
Polycystic Ovaries ◽  
Male Factor ◽  
Secondary Infertility ◽  
Cross Sectional ◽  
Primary Infertility

Background: Infertility prevails in good number in our society, causing social disharmony and distress. Laparoscopy is now a very effective tool for diagnosis and evaluation of female infertility. Method: This cross sectional study was conducted in Infertility Unit of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, from July, 2012 to June 2014. The aim of the study is to identify common pelvic pathologies of female factor infertility by laparoscopy so that early detection and treatment modalities can be instituted. Total 230 sub fertile patients attending OPD were selected for this study. Patients with DM, HTN, known case of hypothyroidism and male factor infertility was excluded from study. Detailed clinical history of every patient was recorded on a pre-set questionnaire and physical examination was performed. Laparoscopy was scheduled in proliferative phase of menstrual cycle. Results: Among the study subjects, 130 (56.5%) had primary infertility while 100 (43.5%) secondary infertility. On laparoscopy, 64.4% patient had normal sized uterus, 31 % had bulky uterus. Two patients had bicornuate uterus in secondary infertility cases. Uterus was restricted in mobility in 41% of patients due to endometriosis, pelvic inflammatory disease (PID) or previous pelvic surgery. Fibroid uterus was detected in 30(13%) and 10(4.3%) cases of primary and secondary infertility cases respectively. Bilateral tubal blockage was present in 16(6.9%) and 17 (7.4%) cases of primary and secondary infertility respectively. Forty (17.4%) cases of primary infertility were detected as polycystic ovaries (PCO) which was 30(13%) in cases of secondary infertility. Endometriosis was found in total 9(3.9%) patient in both the groups. Pelvic adhesion was found in 22(9.5%) and 21 (9.1%) cases of primary and secondary infertility respectively. Conclusion: Laparoscopy could diagnose a substantial number of portion pelvic pathology. In a developing country like Bangladesh, earlier and justified intervention with laparoscopy can save time and expense of infertility treatment by diagnosing pelvic factor responsible for infertility. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 29-35

scholarly journals Diagnostic laparoscopy in the evaluation of tubal factor in cases of infertility

2017 ◽  
Vol 6 (4) ◽  
pp. 1275 ◽  
Author(s):  
Arpana Dipakbhai Chaudhari ◽  
Anilkumar Mathurbhai Baria ◽  
Upendra Rameshbhai Chaudhari ◽  
Grishma T. Dixit ◽  
Nilesh Thakor
Keyword(s):  
Diagnostic Laparoscopy ◽  
Age Group ◽  
Secondary Infertility ◽  
Tubal Patency ◽  
Infertile Women ◽  
Medical College ◽  
Tubal Factor Infertility ◽  
Tubal Factor ◽  
Tubal Disease

Background: Tubal factor infertility accounts for a large portion of female factor infertility. The most prevalent cause of tubal factor infertility is pelvic inflammatory disease and acute salpingitis. Tubal patency can be diagnosed by hysterosalpingography (HSG) or laparoscopy with chromopertubation. The aim of this study was to determine the role of laparoscopy in the evaluation of tubal factor in infertile women.Methods: Sixty women presenting with complaints of primary and secondary infertility were investigated for tubal disease by laparoscopy at at Smt. NHL Municipal Medical College, Ahmedabad during July 2011 to September 2013. Tubal patency was tested by chromopertubation using Methylene blue dye.Results: Thirty-five (58.3%) patients were in primary infertility group while 25 (41.7%) patients were in secondary infertility group. 80% women were in the age group of 21 to 30 years. In 49% of women, the duration of infertility was between 2 to 4 years whereas 17% cases had been infertile for 6 to 10 years. Diagnostic laparoscopy and findings of chromopertubation revealed unilateral blockage in 37% of cases, bilateral blockage had seen in 23% of cases, endometriosis was seen in 9% of cases and adhesion in 7% of cases.Conclusions: Unilateral and bilateral tubal blockade was detected in 60% of cases of infertile women.

scholarly journals Evaluation of role of laparoscopy in determining etiology of infertility

2017 ◽  
Vol 6 (12) ◽  
pp. 5322
Author(s):  
Hema K. R. ◽  
Lalitha H. S.
Keyword(s):  
Diagnostic Laparoscopy ◽  
Secondary Infertility ◽  
Peritoneal Disease ◽  
College Hospital ◽  
Medical College ◽  
Uterine Anomalies ◽  
Morphological Defects ◽  
Indispensable Tool ◽  
Infertility Patients

Background: Although population explosion is a major problem in India, infertility appears to be a problem in 5-15% of Indian population. All these patients require evaluation. Laparoscopy plays a valuable role in the diagnosis of infertility. After thorough clinical examination and specific investigations, diagnostic laparoscopy is performed to detect patency of tubes, morphological defects in uterus, ovaries and tuboperitoineal factors. This study was conducted to assess the role of diagnostic laparoscopy in the investigation of female infertility and to evaluate the various causes of infertility like endometriosis, PCOD tubal and peritoneal factors, uterine anomalies, tuberculosis etc. by using diagnostic laparoscopy.Methods: Study was carried out in 60 infertile patients attending outpatient department of hospitals attached to Sri Siddhartha Medical College Hospital, Tumkur.  Both primary and secondary infertility patients who were anxious to conceive and undergo diagnostic laparoscopy were evaluated. Those who were not willing and who were contraindicated for the procedure were excluded.Results: Diagnostic laparoscopy was performed in 72% of primary and 28% of secondary infertility patients. Majority of the patients of primary infertility were in age group 21-25 years and that of secondary were between 26-30 years. Majority of patients in both the groups had duration of 1-5 year of infertility. In our study tubal factors (50%) contributed to majority of the infertility causes. Complication rate was minimum and was comparable to other standard studies.Conclusions: Laparoscopic is the gold standard for diagnosing tubal and peritoneal disease, endometriosis and other pelvic pathology, because no other imaging technique gives the same degree of sensitivity or specificity. Hence diagnostic laparoscopy is an indispensable tool in the evaluation in the evaluation infertility.

scholarly journals Study of Combined Laparoscopic and Hysteroscopic Findings in 100 Cases of Infertility

2017 ◽  
Vol 1 (1) ◽  
pp. 5-10
Author(s):  
BS Jodha ◽  
Preeti Chawla
Keyword(s):  
Diagnostic Laparoscopy ◽  
Cost Effective ◽  
List Type ◽  
Endometrial Polyps ◽  
Tubal Patency ◽  
Medical College ◽  
Tubal Blockage ◽  
Diagnostic Hysteroscopy ◽  
Ovarian Pathology ◽  
Chocolate Cyst

ABSTRACT Objectives To study the role of combined diagnostic laparoscopy and hysteroscopy in evaluation of female infertility. To find out different factors associated with infertility. To provide concurrent therapeutic management. Materials and methods A total of 100 women underwent combined diagnostic laparoscopy and simultaneous diagnostic hysteroscopy during the period from January 2015 to December 2015 in the Obstetrics and Gynecology Department, Umaid Hospital, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India. Results Age ranged from 21 to 38 years, and mean age was 25.98 years. Abnormal laparoscopic findings were noted in 41% cases, abnormal hysteroscopy seen in 24% cases, and 17% cases showed abnormality in both. Bilateral tubal patency was demonstrated in 81% cases. Tubal blockage was bilateral in 5% and unilateral in 9% cases. In 2% cases, bilateral block with beaded appearance found suggestive of tuberculosis. Of total 100 cases, 12% cases were found to have endometriosis, 8% had polycystic ovarian syndrome (PCOS), chocolate cyst was found in 5% cases, and 7% had functional cyst of ovary. Pelvic adhesions were found in 15% patients. Myomas were found in 8% cases. Endometrial polyps were revealed in 5% and Asherman’s syndrome in 6% patients. Combined laparoscopy and hysteroscopy was diagnostic in 17% of cases, 41% were diagnosed through laparoscopy alone, 24% through hysteroscopy alone, while in 18% cases findings were normal. In our study, tuboperitoneal factors were responsible for infertility in 40% cases, ovarian factors in 26% cases, and PCOS in 8% cases. Conclusion In our study, 74% of the cases had some form of tubo-ovarian pathology, which makes laparoscopy an essential tool of infertility workup. Although hysteroscopy alone was diagnostic in 30% of cases, its simultaneous use with laparoscopy provides cost-effective, comprehensive, and single setup diagnostic aid in these kinds of patients. How to cite this article Jodha BS, Chawla P. Study of Combined Laparoscopic and Hysteroscopic Findings in 100 Cases of Infertility. Int J Gynecol Endsc 2017;1(1):5-10.

scholarly journals Prevalence and Causes of Infertility in Overweight and Obese Women in a Tertiary Care Hospital Setup in Mangalore - A Retrospective Secondary Data Analysis

2021 ◽  
Vol 8 (29) ◽  
pp. 2656-2660
Author(s):  
Keerthana Dhandapani ◽  
Bhagyalakshmi Kodavanji ◽  
Vinodini N.A ◽  
Priyadarisini N.J ◽  
Shripad B. Deshpande
Keyword(s):  
Healthy Lifestyle ◽  
Tertiary Care ◽  
Secondary Data ◽  
Care Hospital ◽  
Obese Women ◽  
Secondary Infertility ◽  
Infertile Women ◽  
Medical College ◽  
Ovulatory Dysfunction ◽  
History Of

BACKGROUND Obesity has become an epidemic worldwide. Several mechanisms are involved in the relationship of fertility and obesity, including metabolic and reproductive functions. In light of the fact that most of the causes of infertility are treatable, there is a need to document the diagnostic findings in overweight and obese infertile women. The causes of infertility prevalent in a particular region can be provided by hospital-based studies. So, the present study is designed to find out the common causes of infertility in overweight & obese women and to gain knowledge regarding the prevalence of primary and secondary infertility among these infertile women. METHODS The data of 115 infertile women (18 to 45 years) were collected from hospitals under Kasturba Medical College (KMC), Mangalore retrospectively. Data of history of previous conception, body mass index (BMI), type of infertility, duration of infertility, age and the causes of infertility were collected. The prevalence of each cause was evaluated. RESULTS Among 115 infertile women, 92 (80 %) were pre–obese and 23 (20 %) were obese (P - .001). Primary infertility was most common in pre obese women and secondary infertility in obese women which was statistically significant (P < .05). Ovulatory dysfunction was the most common cause in obese infertile women (P - .004), whereas in pre obese women, it was uterine and adnexal causes. CONCLUSIONS Comparatively, maintaining a healthy lifestyle can avoid fertility problems in pre obese women, because the effect of BMI on hypothalamic–pituitary-gonadal (HPG) axis is higher in obese women in whom ovulatory disorders were the leading cause. The significance of weight reduction before pregnancy should be informed to overweight and obese patients and should be aided to lose weight. Treatment of anaemia itself may resolve the infertility issues and should be taken as a first line treatment in all cases. KEYWORDS Female Infertility, Adipose Tissue, Obesity, Infertility Causes, Ovulatory Dysfunction

scholarly journals Study of Infertile Couples Attending a Teaching Hospital in Eastern Nepal

2016 ◽  
Vol 55 (203) ◽  
pp. 22-25 ◽  
Author(s):  
Shanti Subedi ◽  
Sabina Lamichhane ◽  
Manisha Chhetry
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Social Psychological ◽  
Contributing Factors ◽  
Male Factor ◽  
Secondary Infertility ◽  
Cross Sectional ◽  
Medical College ◽  
Global Health Issue ◽  
Work Abroad

Introduction: Infertility is a global health issue and a socially destabilizing condition for couples with several stigmas including medical, social, psychological burdens and a marital disharmony. The aim was to study the incidence of infertility in couples attending outdoor of Nobel Medical College and to know the contributing factors among the infertile couples.Methods: A prospective cross-sectional study was carried out in the outpatient department of a teaching hospital July 2015-June 2016, where the incidence of infertility and the contributing factors for the same were evaluated.Results: The incidence of infertility in this study was 5.45% and it was dominated by secondary infertility. The most important cause was male factor in 37.39%. Majority of male factor abnormality was due to exposure to heat as these male work abroad in Arabian Countries.Conclusions: The study shows a dominance of secondary infertility and male factor being a major contributor. The most common semen abnormality was oligospermia. Keywords: infertility; incidence; oligospermia; semen. | PubMed

scholarly journals Prevalence of infertility in Sudan: A systematic review and meta-analysis

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Abdullah A. A. ◽  
Musa Ahmed ◽  
Adesina Oladokun
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Male Infertility ◽  
Polycystic Ovary ◽  
Meta Analysis ◽  
Cochrane Central Register ◽  
Ovary Syndrome ◽  
Secondary Infertility ◽  
Primary Infertility ◽  
Pooled Prevalence ◽  
Common Causes

Background/aim: Infertility is defined as the inability of heterosexual couples to achieve a successful clinically recognizable pregnancy after 12 months or more of regular, unprotected sexual intercourse. Infertility estimations are very important to inform the healthcare policymakers and governments to implement appropriate social and economic policies. Thus, this study aimed to estimate the pooled prevalence of infertility (primary and secondary) and its etiologic factors in Sudan. Methods: This study included all published and unpublished studies written in Arabic or English. Electronic sources (namely, PubMed, MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov) and nonelectronic sources (direct Google search, Google Scholar, OpenGrey, OATD, WorldCat log, and university websites) were used from their inception to May 16, 2021. A total of 1955 studies were reviewed, of which only 20 studies were eligible for the meta-analysis. Studies were eligible if they provided the prevalence of infertility in Sudan. The Joanna Briggs Institute Quality Assessment Tool was used to evaluate each study. Data synthesis and statistical analysis were conducted using Jeffrey's Amazing Statistics Program version 0.14.1.0. Results: The pooled prevalence of overall infertility, primary infertility, and secondary infertility in Sudan were 13% (I2 = 96.45, p < 0.001), 65% (I2 = 98.5, p < 0.001), and 35% (I2 = 98.5, p < 0.001), respectively, and the prevalence of infertility factors were 41%, 27%, 16%, and 17% for female, male, combined factors, and unexplained factors, respectively. Women with infertility were mainly present because of ovulatory disorders (ovulatory factors, 36%; polycystic ovary syndrome, 38%). By contrast, spermatic disorders such as azoospermia (37%), oligozoospermia (30%), and asthenozoospermia (30%) were the main causes of male infertility. Conclusion: In Sudan, the prevalence of primary infertility is higher than that of secondary infertility. Female factors were the most common causes of infertility in Sudan, and this study found a high prevalence of unexplained factors. Polycystic ovary syndrome and azoospermia were the most common causes of female and male infertility in Sudan, respectively. The interpretation of these findings should take into consideration the presence of substantial heterogeneity between the included studies.

scholarly journals Correlation of prolactin and thyroid disorders in infertile women

2017 ◽  
Vol 6 (2) ◽  
pp. 649 ◽  
Author(s):  
Priyanka Sharma ◽  
Anita Pal ◽  
Rajeev Sood ◽  
Saroj Jaswal ◽  
Suman Thakur ◽  
...  
Keyword(s):  
Thyroid Disorders ◽  
Thyroid Status ◽  
Secondary Infertility ◽  
Positive Correlation ◽  
Infertile Women ◽  
Primary Infertility ◽  
Thyroid Profile ◽  
The Impact

Background: The objective of the study was to review the impact of thyroid status on the fertility and to study the prevalence of hyperprolactinaemia in infertility.Methods: A total of 150 subjects were divided into 3 groups: 50 primary infertility, 50 secondary infertility and 50 controls. The incidence of hyperprolactinaemia and thyroid disorders was studied in all the three groups.Results: The incidence of hyperprolactinaemia was 41% in all infertile subjects (60% with primary and 22% in secondary infertility) and 6% in controls. The incidence of hypothyroidism was 17% in infertility (18% in primary and 16% in secondary infertility) and 8% in controls.Conclusions: In this study there is a positive correlation between increased prolactin levels and hypothyroidism and such patients’ exhibit ovulatory failure. All patients with infertility should undergo prolactin levels and thyroid profile.

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