Frequency of Endometriosis on Diagnostic Laparoscopy in Females with Secondary Infertility

Abstract

Background: For endometriosis, one of the most common chronic diseases encountered in gynecological outdoors, laparoscopy, is considered as a gold-standard diagnostic tool because direct visualization of endometriotic lesions enables the medical practitioner to provide recommendations for future therapy. This study aimed to determine the frequency of endometriosis on diagnostic laparoscopy in females with secondary infertility. Methods: A cross-sectional study among 92 females was conducted at the Department of Obstetrics & Gynecology, Sir Ganga Ram Hospital, Lahore, from December 2022 to June 2023. Females aged 20-45 years, presenting with secondary infertility and subjected to diagnostic laparoscopy were analyzed using a non-probability, consecutive sampling technique. Data regarding the age, BMI, residence, parity, duration of infertility, and menstrual cycle were recorded. The findings of laparoscopic diagnosis regarding endometriosis were labeled. SPSS vr26 was used. The chi-square test was used to see the impact of effect modifiers on the frequency of endometriosis, taking p≤0.05 as significant. Results: Out of a total of 92 females, (mean age 36.66±5.41years), 65 (70.7%) females were aged between 35-45 years. The mean BMI was 24.6±3.2 kg/m2 and the secondary infertility mean duration was 22.05±6.04 months while the mean parity was 2.09±0.82. Endometriosis was diagnosed among 28 (30.4%) females, in which 16 (57.1%) had a duration of infertility above 2 years (p=0.013) with parity <3 (p=0.761). Conclusion: Using diagnostic laparoscopy, the frequency of endometriosis was found significant among females having secondary infertility. Laparoscopic evaluation can be helpful in the timely diagnosis and management of secondary infertility.

Keywords

• endometriosis
• infertility
• laparoscopy