Pregnancy rate after laparoscopy in the infertile women referring to

authors:

avatar Jamali S 1 , * , avatar Rasekh Jahromi A 2

Professor of Gynecology & Obstetrics. University of Medical Sciences, jahrom, Iran.
Department of Midwifery, jahrom University of Medical Sciences, jahrom, Iran

how to cite: S J, Jahromi A R. Pregnancy rate after laparoscopy in the infertile women referring to. Jundishapur J Chronic Dis Care. 2012;1(2): 45-53. 

Abstract

Introduction: Approximately 80 million people in the world suffer from infertility. Laparoscopy is a golden standard method which helps diagnose peritoneal and the fallopian tube problems. It is also provides the opportunity to examine all the pelvic organs. The aim of this study was to assess the pregnancy rate after laparoscopy in the infertile women reffered to the Paymanieh hospital, Jahrom.
Materials & Methods: In this cross-sectional study,162 infertile women referring to the Honari Clinic of Jahrom from 2008 to 2010 were enrolled. Laparoscopy was applied for these women due to other unsuccessful treatments. Information about patients including age, job, number of marriages, type of infertility, results of hysterosalpingography and rate of pregnancy after surgery was collected. Data was analysed using descriptive statistics including frequenc, mean and standard deviation by SPSS 16.
Results: The mean age was 27.25.31 (16-43 years). The rate of pregnancy after laparoscopic surgery was 54.9%, which most of them (84.6%) had happened after cauterization of polycystic ovaries. All of these pregnancies were spontaneous, of which 83.15% had led to termination and 16.85% has ended in abortion. None of the cases were ectopic pregnancy or any other problem.
Conclusion: The most common cause of women's infertility in Jahrom is polycystic ovaries, 89 out of 162 cases were concieved, which most of them (84.26%) concieved after electro-cautery, ovarian cyst removals or treatment of polycystic ovaries. This shows that the spontaneous ovulation after ovarian cauterization have been very satisfactory, which in turn is comparable to other similar studies. Hence cauterization of ovaries by laparoscopy has proved as an effective treatment for infertility.
Keywords: Infertility; Polycystic ovary; Laparoscopy; Pregnancy

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