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Objectives: The aim of this study was to evaluate different causes of infertility through diagnostic laparoscopy.
Study design, setting and duration: A descriptive observational study conducted at Department of Obstetrics &
Gynecology Lady Reading Hospital Peshawar from January 2005 to December 2005.
Materials & Method: Fifty (50)sub-fertile female patients with age between 18 to 35 years attending the OPD were
included according to inclusion criteria and evaluated for different causes of infertility. Detailed history of every
patient was recorded on a proforma and physical examination was performed. Patients with history of chronic
illness and those couples who have not lived together for at least 12 month were excluded.Patients with all
contraindications as related to procedure of laparoscopy were also excluded from the study.Data were analyzed
using SPSS 14. Frequency and percentages were calculated to describe the results.
Results: Among 50 sub-fertile patients, 84% were found with primary infertility and the remaining had secondary
infertility. Majority of the patient were of the age between 18 to 25 years and duration of their infertility ranged
between 1 to 20 years. 84% of patients had normal menstrual cycle, 6% had irregular menstruation while 8% of the
patient had primary amenorrhea and 2% had secondary amenorrhea. Laparoscopy revealed normal findings in 56%
and abnormal findings in the remaining 44%. Among the abnormal findings 41.91% had adhesions, 22.73% had
congenital abnormalities, 18.19% were having fibroid, 9.09% had tuberculosis and 4.55% each had endometrioses
and polycystic ovaries.
Conclusion: Diagnostic Laparoscopy was found a valuable technique. Laparoscopic procedures are less invasive,
more convenient and more precise for diagnosis of sub-fertility in women. It has definitive role for complete
assessment of female infertility.
Key words: Infertility, laparoscopy, adhesions, complications.

Rubina Akhtar
Sadia Ali
Fazilat Jamala
Ra hat