Etiology of female infertility in age group 20-35 years - A study based on laparoscopic findings

Objective: to find out laparoscopic findings in cases of infertility encountered in different age groups. methodology: this observational study was carried out in department of obs. & gynae,sir ganga ram hospital,lahore. 50 patients were enrolled during the study period of one year. the age range was between 20- 40 years. duration of marriage was more than 2 years. these patients were not using any contraceptives and their husband's semen analysis was normal. results: among fifty patients which were studied,laparoscopy revealed normal pelvic organs in 20% of the cases. unilateral or bilateral tubal blockade was present in another 20% of the cases. fourteen percent of the patients had peri-tubal,peri-ovarian and pelvic adhesions. endometriosis was present in 16% of the patients. polycystic ovaries(pco) was another significant finding present in 16% of the patient. ten percent of the patients had hydrosalpinx / pyosalpinx,whereas genital tract tuberculosis (t.b) was present in 4% of the cases.conclusion: laparoscopy is a useful diagnostic tool in the evaluation of infertility in our setup.