Laparoscopic interpretation of pelvic pathologies in infertile women.

Background: Aim of this study is to evaluate the results of diagnostic laparoscopy in 82 infertile women. Methods: Eighty-two infertile women that underwent diagnostic laparoscopy were examined retrospectively and pelvic pathologies were classified. Results: Pathologic findings were observed in 65.85% of cases and 34.1 5% of patients had no abnormal finding. Pathologic findings were classified as; tubal (40.24%), ovarian (1.22%), uterine (4.88%), endometriosis (10.98%), pelvic inflammatory disease (244%) and mixed pathologies (6.09%). Frequency of endometriosis is 11.32% in primary and 10.34% in secondary infertile cases. Adnexal adhesions were observed in 37.80% of infertile cases; predominantly in secondary infertile cases (44.82%) and less frequently in primary infertile cases (33.96%). Minimal, mild, moderate and severe adnexal adhesions were observed in 41.94%, 38.48%, 12.90% and 9.68%; respectively. Conclusions: Laparoscopy plays an important role both in the diagnosis and evaluation of infertility. We have the opinion that it would be inappropriate to evaluate infertility without laparoscopy, especially in the presence of pelvic adhesion and endometriosis. [ABSTRACT FROM AUTHOR]