Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Apr 2009)
Fertility Rate Following Laparoscopy in Infertile Women
Abstract
BACKGROUND AND OBJECTIVE: Laparoscopy should be considered for evaluation of infertility. It is used for diagnosis and treatment of pelvic disorders, lysis of adhesion, reconstructive tubal surgery, myomectomy, cauterization of ovarian surface in polycystic ovarian disease, ovarian cystectomy and etc that may be followed with increasing fertility rate. The aim of this study was to evaluate the fertility rate following laparoscopy in infertile women.METHODS: This cross sectional study was performed on 75 infertile women who underwent laparoscopy because of non-response to infertility treatments. The information were studied including age, duration and type of infertility, type of surgery done by laparoscopy, and pregnancy rate following surgery and time gap of pregnancy after laparoscopy.FINDINGS: From 75 patients, 64 (85.3%) because of primary infertility and 11(14.7%) because of secondary infertility underwent laparoscopy. Laparoscopy showed that the cause of infertility in patients was adhesion, reconstructive tubal surgery, ovarian problems, endometriosis, and ovarian cyst. Fertility rate was 26(34.7%) following laparoscopy. The mean period of pregnancy following laparoscopy was reported 15.3±9.9 months. CONCLUSION: The results showed that laparoscopy is a suitable method in the diagnosis and treatment of infertility and can lead to the increase of fertility rate.