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388597

Value of Laparoscopy: in Diagnosis of Endometriosis in Unexplained Infertility

Article

Last updated: 03 Jan 2025

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Abstract

The presence of endometrial tissue outside of the endometrium and myometrium is referred to as pelvic endometriosis. Deep infiltrative endometriosis is the presence of endometrial implants, fibrosis, and muscle hyperplasia that extend more than 5 millimetres into the peritoneum (DIE). The most precise treatment for assessing tubal pathologic abnormalities and other hidden intra-abdominal causes of infertility is diagnostic laparoscopy, according to most experts. Diagnostic laparoscopy may be useful in the infertility work-up programme before moving on to intrauterine insemination (IUI) treatment since IUI requires ideal conditions for the ovum pick-up and its transport mechanism. 
Aim of the Work : The aim of this study was to evaluate the value of laparoscopy in diagnosis of endometriosis in cases of unexplained infertility.
Methods : This observational cross section study included 24 cases of unexplained infertility diagnostic laparoscopy done for all of them. 
Results: Laparoscopic findings in studied patients, 9 patients (37.5%) showed endometriosis, 8 patients (33.3%) showed adhesions and 7 patients (29.2%) showed no laparoscopic findings. endometriosis grade detected by laparoscopy in studied patients. 1 patient (11.1%) showed endometriosis grade I, 2 patients (22.2%) showed endometriosis grade II, 2 patients (22.2%) showed endometriosis grade III and 4 patients (44.4%) showed endometriosis grade IV.  
Conclusion: It is concluded that endometriosis is a common diagnosis in women with unexplained infertility and chronic pelvic pain. Laparoscopy should be indicated when diagnosis is suspected, together with tissue sampling and histopathologic examination.  

DOI

10.21608/egyfs.2024.388597

Authors

First Name

Waleed

Last Name

Tawfik

MiddleName

M.

Affiliation

Department of Obstetrics and Gynecology, Benha faculty of medicine, Benha University, Egypt

Email

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City

-

Orcid

-

First Name

Amira

Last Name

Khalil

MiddleName

E.

Affiliation

Department of Obstetrics and Gynecology, Benha faculty of medicine, Benha University, Egypt

Email

amira.emam2006@gmail.com

City

-

Orcid

-

First Name

Omar

Last Name

Naser

MiddleName

K.

Affiliation

Department of Obstetrics and gynecology, Benha faculty of medicine, Benha University, Egypt

Email

omarkhaled@fmed.bu.edu.eg

City

Banha

Orcid

0000-0002-5653-7865

Volume

28

Article Issue

5

Related Issue

51208

Issue Date

2024-09-01

Receive Date

2024-10-22

Publish Date

2024-09-01

Page Start

80

Page End

85

Print ISSN

1110-6352

Online ISSN

2536-9768

Link

https://egyfs.journals.ekb.eg/article_388597.html

Detail API

https://egyfs.journals.ekb.eg/service?article_code=388597

Order

388,597

Type

Original Article

Type Code

319

Publication Type

Journal

Publication Title

The Egyptian Journal of Fertility of Sterility

Publication Link

https://egyfs.journals.ekb.eg/

MainTitle

Value of Laparoscopy: in Diagnosis of Endometriosis in Unexplained Infertility

Details

Type

Article

Created At

23 Dec 2024