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Znaczenie laparoskopii w diagnostyce niepłodności w materiale Kliniki Ginekologii Operacyjnej i Onkologicznej Uniwersytetu Medycznego w Łodzi

Author(s): Katarzyna Kowalczyk-Amico | Maria Szubert | Tomasz Wierzbowski | Piotr Fras | Jacek Suzin

Journal: Przegląd Menopauzalny
ISSN 1643-8876

Volume: 14;
Issue: 2;
Start page: 105;
Date: 2010;
Original page

Keywords: sterility | endometriosis | diagnostic laparoscopy

Background: Laparoscopy is a useful tool in current fertility practice. Aim: The aim of this study was to evaluate the prevalence of different causes of infertility diagnosed by laparoscopyamong women referred to the Department of Obstetrics and Gynaecology, Medical University of Łódź. Material and methods: One hundred and sixty-eight patients who were diagnosed laparoscopically in 2008and 2009 were studied retrospectively. Frequency of the causes and findings were determined. Results: From the whole group of 285 women who underwent laparoscopy, 168 patients (59%) were diagnosedlaparoscopically. Among this group 145 women (83%) were referred for the invasive diagnostic proceduredue to primary infertility. The average age of primary infertile women was 30.8 years, secondary infertile women32.6 years. Endometriosis was diagnosed in 113 patients (67%). Thirty-eight women (23%) were found to have Zroatubal disease; among these patients 36% had bilateral tubal blockage. Dense pelvic adhesions were morefrequent in secondary infertile women. Adhesiolysis was conducted in 26% of examined patients. Conclusions: Diagnostic laparoscopy is a valuable technique for complete assessment of female infertility.Endometriosis is the most probable cause of infertility in two of three women. Other common factors responsiblefor infertility are tubal disease, adhesions and polycystic ovaries.
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