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Shahida Hashim Marwat
Dr Humeera Naz
Dr Bakth Ranra
Dr Parveen Shafi
Dr Zul-E-Huma
Dr Aneesa Sadiq


Infertility, Endometriosis, Laparoscop


Objectives:To determine the frequency of endometriosis on laparoscopy in females with infertility.

Materials and Methods:  This retrospective study was conducted at Gynae Department, Gajju Khan Medical College MTI, Shamansoor Swabi in the duration from January, 2023 to December, 2023. Medical records of 150 females meeting the inclusion criteria underwent diagnostic laparoscopy and were included in the analysis. During diagnostic laparoscopy, representative samples were collected and sent to the hospital's histopathology department for evaluation to confirm the presence of endometriosis. A predesign questionere were used to collect data. For statistical analysis we used SPSS Version 25.

Results: In the enrolled patients, the mean age was 30.38±6.36 years, with a mean duration of marriage of 8.30±5.15 years and a mean duration of infertility of 1.98±1.38 years. Among them, 33 patients (22.0%) were diagnosed with endometriosis. Additionally, 102 women (68.0%) experienced primary infertility, while 48 women (32.0%) had secondary infertility. There was no significant statistical association found between endometriosis and age, type of infertility, or duration of infertility in our study.

Conclusion: Our study concludes that endometriosis is linked to infertility in women. Despite the invasiveness of laparoscopy, proper training can mitigate associated complications, offering benefits to patients and enhancing our comprehension of the disease's pathology.

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1. Ahmadi F, Eshrati B, Hassani F, Hosseini R, Pooransari P, Ramazanali F, et al. INTERNATIONAL JOURNAL OF FERTILITY AND S tERILITY (Int J Fertil S teril). Int J Fertil Steril. 2024;18(1).
2. Peate I. Reproductive disorders. Learning to Care: The Nursing Associate. 2019:429.
3. Gupta D, Hull ML, Fraser I, Miller L, Bossuyt PM, Johnson N, et al. Endometrial biomarkers for the non‐invasive diagnosis of endometriosis. Cochrane Database of Systematic Reviews. 1996;2016(4).
4. Giannini A, Palla G, Goglia L, Genazzani AR, Genazzani A, Simoncini T. Effects of preoperative and perioperative administration of wobenzym vital on minimal-mild endometriosis. Journal of Endometriosis and Pelvic Pain Disorders. 2015;7(2):71-7.
5. Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstetrics and gynecology clinics of North America. 1997;24(2):235-58.
6. Vander Borght M, Wyns C. Fertility and infertility: Definition and epidemiology. Clinical biochemistry. 2018;62:2-10.
7. Judith Mary J. To Identify the risk factors associated with infertility among women attending Infertility Clinic at Institute of Obstetrics and Gynecology, Egmore, Chennai: College of Nursing, Madras Medical College, Chennai; 2011.
8. Jogi P. Diagnostic Laparoscopy in the Evaluation of Female Factor Infertility: Rajiv Gandhi University of Health Sciences (India); 2016.
9. Pašalić E, Tambuwala MM, Hromić-Jahjefendić A. Endometriosis: Classification, pathophisiology, and treatment options. Pathology-Research and Practice. 2023:154847.
10. Khawaja UB, Khawaja AA, Gowani SA, Shoukat S, Ejaz S, Ali FN, et al. Frequency of endometriosis among infertile women and association of clinical signs and symptoms with the laparoscopic staging of endometriosis. Journal of the Pakistan Medical Association. 2009;59(1):30.
11. Shaheen R, Subhan F, Sultan S, Subhan K, Tahir F. Prevalence of infertility in a cross section of Pakistani population. Pakistan Journal of Zoology. 2010;42(4).
12. Tabbsum T, Nafees S, Hayes T, ul Hassan SM, Sattar A. Frequency Of Endometriosis in Females with Infertility Undergoing Diagnostic Laparoscopy: Endometriosis in Females with Infertility. Pakistan Journal of Health Sciences. 2022:13-6.
13. Haider G, Rani S, Talpur S, Zehra N, Munir A. Laparoscopic evaluation of female infertility. Journal of Ayub Medical College Abbottabad. 2010;22(1):136-8.
14. Chimote A, Samal S, Hariharan C, Angik R. Laparoscopy and hysteroscopy in patients of infertility in a rural set up. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2015;4(2):322-9.
15. de Medeiros SF, Yamamoto MM, Galera BB, de Medeiros MA, Barbosa JS. Reassessment of the laparoscopy role in the investigation of infertility and treatment plan determination. Asian Pacific Journal of Reproduction. 2012;1(2):93-7.
16. Hughes EG, Fedorkow DM, Collins JA. A quantitative overview of controlled trials in endometriosis-associated infertility. Fertility and sterility. 1993;59(5):963-70.

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