Diagnostic laparoscopy in primary infertility
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Primary infertility
Female infertility
This article presents an integrative literature review aimed at reviewing the relationship between endometriosis and female infertility between the years 2016-2022. In this type of study, the integrative review helps to obtain, identify and analyze a specific topic in the literature. Thus, the objective of this work is to extract information from the updated literature through articles selected between the years 2016-2022 in empirical categories called: “Relationship of endometriosis with female infertility”; “Early diagnosis of endometriosis and the influence on female infertility”; "Treatment of endometriosis and the impact on women's health", in order to relate endometriosis to female infertility in an integrative review. The conclusion is, therefore, that health professionals, who manage the treatment of endometriosis, should be attentive to early diagnosis, whether in the form of a questionnaire or laboratory tests, treatment and, consequently, the quality of women's life.
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The goal of this study was to set the relation between infertility and endometriosis. It included 500 infertile female patients who underwent laparoscopy in order to find out the cause of infertility. The prevalence of endometriosis in these patients was 26%, that is significantly higher than in the control group which consisted of 200 randomly chosen fertile women in whom prevalence of endometriosis was 5%. Patients with endometriosis mainly belong to the group of 25-29 years of age with a median duration of infertility of 2-4 years. Endometriosis occurs three times more often in the group of patients with primary sterility than in patients with secondary sterility. Majority of patients (71.5%) are with minimal or mild endometriosis.
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To find out different causes of female infertility with diagnostic laparoscopy and their comparative frequency in primary and secondary infertility.A case series.Department of Obstetric and Gynaecology, Liaquat University Hospital (LUH), Hyderabad, rom January 2006 to December 2007.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 findings regarding primary and secondary infertility.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 finding 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 inflammatory 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.Most common causes responsible for infertility were tubal occlusion, endometriosis, peritubal and periovarian adhesions. Ovarian causes were seen in primary infertility only.
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INTRODUCTION: Infertility is a global problem with the highest prevalence in sub-Saharan Africa. Despite the high prevalence it has been a relatively neglected problem, overshadowed by seemingly greater concerns such as maternal mortality.
OBJECTIVES: The aim of this study is to identify the prevalence, clinical pattern and causes of infertility among gynaecological patients in Aminu Kano Teaching Hospital.
METHODOLOGY: It was a retrospective study of infertile patients who presented at the gynaecology clinic of Aminu Kano Teaching Hospital, between 1st January 2016 and 31st December 2017.
RESULTS: The prevalence of infertility was 16%. The ages of the patients ranged from 18 to 46 years, with a mean age of 28.72+6.0 years. The mean duration of infertility was 5.97 ± 4.19 years with maximum duration of 28 years. Majority of the patients had secondary infertility (53%) while 47% had primary infertility. Female factors accounted for 44.6% of the infertility, while male factors accounted for 23%. Among the female causes of infertility tubal factors accounted for 46%, ovulatory factors accounted for 41% while uterine factors accounted for 13%.
CONCLUSION: Prompt diagnosis of infection and adequate treatment will go a long way in preventing the dreaded sequelae of infertility.
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HSG examination was performed on 363 female patients diagnosed because of infertility. In 258 (71.8%) women primary infertility was recognized and in 105 (28.9%) secondary infertility. Normal anatomical state of Fallopian tube was observed in 65 (77.4%) patients with primary infertility and only in 19 (22.6%) with secondary infertility. Abnormal results of examination were discovered in altogether 279 (76.9%) diagnosed patients. Taking into consideration Fallopian tube factor in secondary infertility, it was discovered in as many as 81.9% of cases.
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Background: Infertility is an inability to get pregnancy or give birth to a child. Several factors may be involved in development of infertility. The endometriosis is the devastating syndrome which may be a cause of infertility in females. Aim: To assess the frequency of endometriosis in females presenting with infertility in a tertiary care hospital. Methods: This cross sectional study was conducted in the Department of Obstetrics & Gynecology, Services Hospital, Lahore for 6 months. 150 females underwent laparoscopic diagnosis of endometriosis. All this information was recorded on proforma. The collected data was entered and analysed statistically by using SPSS version 20. Results: The mean age of patients was 29.28±6.00years. The mean weight of females was 67.68±10.60kg, mean height was 1.60±0.05meters and mean BMI was 26.60±4.49kg/m2. The mean duration of marriage was 7.41±5.57years. In this study, 71 (47.33%) females had primary infertility while in 79 (52.67%) females had secondary infertility. There were 21 (14%) females who had endometriosis while 129 (86%) females did not have endometriosis. Conclusion: Thus the frequency of endometriosis was low in females with infertility but not ignorable. Key words: Endometriosis, females, infertility, laparoscopy
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To investigate the cause of infertility and evaluate the diagnostic value of laparoscopy in disgnosis of infertility. The relationship between pelvic disease and infertility in 398 female patients with laparoscopy was analyzed. 359 of 398 cases with infertility (90.20%) had pelvic diseases. Pelvic inflammatory disease? endometriosis and polycystic ovarian syndrome(PCOS) were major causes resulting in infertility, approximately 54.52%, 18.34% and 10.30% respectively. There were 91.70% patients with pelvic inflammatory disease and 20.55% with endometriosis presented fallopian obstruction. Among 398 cases, hysterosalpingraphy (HSG) was studied in 156 patients before laparoscopy, the results of 96 cases were coincident with laparoscopy, accounting 61.53%. 227 cases received vaginal ultrasonographic examination, the results of 159 cases(70.04%) were confirmed by laparoscopy. [Conclusion] The important value of laparoscopy in diagnosis infertility has been known, the morbidities of pelvic inflammatory disease and endometriosis are higher in secondary infertility than that in primary infertility. Endometriosis and PCOS are most often seen in primary infertility. The patients which are suspected with pelvic disease or with unknown infertility should be operated by laparoscopy as soon as possible.
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About 15% of the couples are infertile and need medical assistance for reproduction. In about half of those 15% the infertility is caused by a female pathology. In the female, several causes, alone or in association can be present: blocked Fallopian tubes, anovulation, endometriosis, immunological problems and primary ovarian failure. In some patients no apparent cause for the infertility can be detected, they have so-called unexplained or idiopathic infertility.
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AbstractIntroduction: Infertility is one of the common clinical symptoms in women with endometriosis. Limited ways to diagnose endometriosis, symptoms of endometriosis considered normal and overlap with other diseases that cause delaying treatment that increase the duration of infertility. This study purpose to analyze the differences in duration of infertility to women with endometriosis and without endometriosis. Method: This study is observational analytical research with retrospective case-control designed by looking at medical records in Fertility Clinic Graha Amerta RSUD Dr. Soetomo Surabaya. Total samples in this research are 50 women with infertility, it is divided into 25 people with endometriosis and 25 people without endometriosis. In the medical records, we can see the duration of infertility in each sample. Results: The duration of infertility >3 years occurs in women with and without endometriosis (72% and 80%). In bivariate analysis using the chi-square test, there was no difference that showed increasing duration of infertility (P = 0.508) between women with endometriosis and without endometriosis. Conclusion: There was no differences in the duration of female infertility with endometriosis and without endometriosis
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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 inammatory 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
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