LAPAROSCOPIC EVALUATION OF TUBAL FACTORS IN PATIENTS WITH POLYCYSTIC OVARIAN SYNDROME AND INFERTILITY

Dr. Zinat Ara Ferdousi*, Dr. Fawzia Zaman, Dr. Mamata Manjari, Dr. Jesmine Akter, Dr. Sayeeda Pervin, Dr. Shirin Shabnam

ABSTRACT

Objective: In this study or main goal is to evaluate the tubal factor pathology in case of infertile patients with diagnosed PCOS by laparoscopy. Method: This retrospective study was carried out at tertiary medical college and hospital from 2018 to 2019 where a total of 100 women who were diagnosed case of infertility with PCOS included in the study. Results: During the study, in primary infertility 70.59% patient had no history of contraception. Only 8.82% had taken oral pill and 20.59% used barrier method. In secondary infertility had no history of contraception 25% had taken oral pill, 6.25% had taken IUCD and 6.25% used barrier method. Laparoscopic study of fallopian tube showed in primary infertility the tube of the right side was normal looking in 52 (76.47%), peritubal adhesion was present in 12 (17.65%) and hydrosalpinx was present in 4 (5.88%) cases. The tube of the left side was normal looking in 50 (73.53%), peritubal adhesion was present in 10 (14.71%) and hydrosalpinx was present in 8 (11.76%) cases. In secondary infertility the tube of the right side was normal looking in 16 (50.00%), peritubal adhesion was present 8 (25.00%) hydrosalpinx in 6 (18.75%) and the tube was absent in 2 case. In the left side the tube was normal looking in 20 (62.50%), peritubal adhesion was present in 8 (25.00%) and hydrosalpinx in 4(12.50%) cases. Conclusion: Without laparoscopic examination, investigation of female sub fertility is incomplete. In our country laparoscopic facility is available only in few centres as its use requires considerable expertise. So there should be more supports and opportunities for making enough competent laparoscopists. Then the infertile couples will be benefited from it and achieve their goals of infertility.

Keywords: Laparoscopic evaluation, tubal factors, polycystic ovarian syndrome (PCOS).