Endometriosis Seen at Diagnostic Laparoscopy for Women with Infertility

• Main Authors: Joseph Ifeanyichukwu Ikechebelu (Author), George Uchenna Eleje (Author), Chidimma Donatus Okafor (Author), Abdulhakeem Olajide Akintobi (Author)
• Format: Book
• Published: Journal of Gynecological Research and Obstetrics - Peertechz Publications, 2015-08-07.
• Subjects: Research Article
• Online Access: Connect to this object online.

<p id="oneArea" class="accordion-body in" style="height: auto;"> </p><p class="accordion-inner"> </p><p> <strong>Objective:</strong> To determine the prevalence and laparoscopic features of endometriosis in women investigated for infertility using laparoscopy and dye test. </p> <p><strong>Methods: </strong>This was a retrospective survey at Life Institute for Endoscopy, Limited, Nnewi, Nigeria between January 2006 and December 2008. Data was collected with a pre-designed proforma which included the socio-demographic characteristics and laparoscopic findings in various abdomino-pelvic organs. The data was analyzed using SPSS software version 16 (SPSS for windows, Version 16.0 Chicago: SPSS Inc.).</p> <p><strong>Results: </strong>During the study period, 24 cases of endometriosis were diagnosed out of the 490 infertile women seen. This gave the prevalence rate of 4.9 %. The mean age of the women was 30.3±4.1 years. Majority (58.3%) of the patients were of social class I. Sixteen (66.6%) patients presented with primary infertility, while 8 (33.3%) had secondary infertility and were all primiparous. </p> <p>Chocolate cysts were bilateral in 9 (37.5%) patients and unilateral in 6 (25.0%). Thirteen (54.2%) patients had bilateral tubal adhesions, while 5 (20.8%) had unilateral adhesions. Thirteen (54.2%) patients had bilateral patent tubes while 4 (33.3%) and 2 (16.7%) patients had unilateral and bilateral tubal blockade respectively on dye test. Seventeen (65.4%) patients had adhesions at the cul-de-sac while eight (33.3%) patients had involvement of bowel to adhesion.</p> <p><strong>Conclusion: </strong>Endometriosis is an important common gynaecological problem among infertile women seen at laparoscopy. Majority of infertile women with endometriosis had chocolate cysts, cul-de-sac adhesion and bilateral patent tubes at laparoscopy and dye test. </p> <p></p><p></p>