ROLE OF DIAGNOSTIC LAPAROSCOPY IN INFERTILITY: AN OBSERVATIONAL STUDY

Background:Infertility is a complex condition affecting numerous women worldwide. Diagnostic laparoscopy has emerged as a valuable tool in identifying underlying causes of infertility. This cross-sectional study, conducted at the Department of Obstetrics and Gynaecology, Government Hospital, Kota, aimed to assess the role of diagnostic laparoscopy in evaluating infertility.

Aim:To evaluate the demographic profile, clinical presentations, and laparoscopic findings in women undergoing infertility evaluation and to identify the association between age, duration of marriage, and type of infertility.

Material and Methods:A total of 100 women with infertility were included in this study. Participants demographic data, clinical history, and anthropometric measurements were recorded. Laparoscopic procedures were performed to identify uterine, tubal, and ovarian factors contributing to infertility. The statistical analysis examined the association between age, duration of marriage, and infertility type, with significance determined by p-values.

Results:The study found that 65% of participants had primary infertility, with a higher prevalence among younger women and those married for shorter durations. A significant association was observed between age, marriage duration, and infertility type (p = 0.001 and p = 0.0001, respectively). Laparoscopy revealed ovarian factors as the most common cause of infertility (35%), followed by tubal (18%) and uterine factors (15%). Complications from the procedure were minimal, with only 2% experiencing extra-peritoneal air insufflation, 5% abdominal pain, and 1% wound sepsis.

Conclusion:Diagnostic laparoscopy plays a crucial role in identifying the causes of infertility, particularly in younger women with primary infertility and shorter marriage durations. The procedure is safe with low complication rates, making it a valuable tool in the comprehensive evaluation of infertility. These findings highlight the importance of individualized approaches to infertility management based on age and marriage duration.