Precision in Diagnosis of Factors in Female Infertility Through Diagnostic Laparoscopy Insights from Lady Reading Hospital Peshawar
Year: 2025
Type: article
Study design: Observational Study
Abstract: Infertility afflicts millions worldwide and often stems from female factors. The World Health Organization reports that 60-80 million couples struggle with infertility due to blocked fallopian tubes, polycystic ovary syndrome, or endometriosis. Understanding the intricacies of infertility is paramount to addressing this prevalent issue. Objective: To determine factors in female infertility through diagnostic Laparoscopy. Methods: A cross-sectional study was conducted from Nov 2020 to April 2021 in the Gynecology Unit of Lady Reading Hospital, Peshawar. No longitudinal elements were involved; the analysis was purely observational. We included 90 infertile women aged 18-45 with normal male partner semen analysis. Exclusion criteria consisted of contraceptive use or no intercourse in a year. Participants were divided into primary (n=62) and secondary (n=28) infertility. Diagnostic laparoscopy investigated the cause. Data were analyzed by SPSS version 26.0. Results: Tubal blockage emerged as the leading cause at 33.3%, followed by polycystic ovaries at 21.1% and endometriosis at 13.3%. Other etiologies comprised fibroids at 6.7%, ovarian cysts at 4.4%, and pelvic inflammatory disease at 3.3%. Laparoscopy proves integral to identifying occult pathologies driving infertility. It facilitates clinical management and improves reproductive outcomes for women presenting with fertility complications. Conclusions: It was concluded that tubal blockage was the most common cause (33.3%). In 33.3% of cases, polycystic ovaries were found, in 13.3% endometriosis, in 6.7% fibroids, in 4.4% ovarian cysts, and in 3.3% pelvic inflammatory disease (PID).
Authors: Ikram Ullah, Hafiza Nida Mumtaz, Neelam Hassan, Neelam Aziz, Palwasha Najeeb, Faiza Jabbar
Institution: Lady Reading Hospital
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4408679298