Fertility & Reproduction (Dec 2023)

#31 : Outcome of Diagnostic and Therapeutic Laparoscopic Procedures in Sub Fertility in Farooq Hospital, Lahore, Pakistan

  • Fariha Farooq

DOI
https://doi.org/10.1142/S2661318223742820
Journal volume & issue
Vol. 05, no. 04
pp. 522 – 524

Abstract

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Background and Aims: Sub-fertility is a global issue, and its prevalence worldwide is around 10% to 15%. The aim of this study was to find out the cause of subfertility and outcome in terms of positive pregnancy followingdiagnostic and therapeutic laparoscopy. Methods: A Non-randomized control trial was carried out in 110 patients presenting with subfertility in a tertiary care hospital of Lahore, from January 2022 to Dec 2022. A sample of 110 patients was collected through Non-Probability, Consecutive sampling technique. Data was collected by using a structured questionnaire. Those patients whose husbands had abnormal semen analysis were excluded from the study. Data were analyzed using SPSS version 23. Chi square test was applied used to find out associations between laparoscopic procedures and age, type of infertility, marital years and outcome in terms of becoming pregnant. P value was fixed as [Formula: see text]0.05 as significant. Results: Out of 110 females with subfertility, 54 (49.1%) were in the age group 26-30 years. Most common presentation was subfertility in 76 (69.1%). Ultrasound findings were normal in (n=73, 66.4%) patients whereas intra-operatively (n=46, 41.8%) had normal findings. Main Causes identified were blocked tubes (n=12, 11%), Polycystic ovary (n=10, 9.1%) and Pelvic tuberculosis (n=4, 3.6%). Bi variate analysis of laparoscopic procedures with Sociodemographic profile showed significant results such as Age (p=0.002), marital years (p=0.000) and conception after laparoscopic procedures (p=0.022. Binary logistic regression showed significant results with positive pregnancy outcome with p value of 0.024 with (95% CI of 1.139-6.241). Conclusion: In Pakistan TB is a neglected cause of subfertility diagnosed through laparoscopic procedures only. Strong association was observed with positive pregnancy outcome and therapeutic laparoscopy in 16(47.1%) of the patients.

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