An Audit of 100 cases of Diagnostic Laparoscopy for Infertility

Objective: The aim of this study is to critically analyze the routine use of diagnostic laparoscopy in infertile women and to see the effects of LOD(laparoscopic ovarian drilling) on ovulation induction in clomiphene resistant cases. Design: An observational study (an ongoing study) Place and duration of study: Sir Ganga Ram Hospital, from January 2007 to June 2009; 18 months study. Patients and methods: All patients who underwent diagnostic laparoscopy for Infertility in Gynae III during the study period were included. Data was collected from the laparoscopic findings and by reviewing their clinical records. Patients were followed for a period of 18 months for ovulation induction or till they conceived. Results: 100 patients underwent diagnostic laparoscopy for infertility in Gynae unit III during the period, January 2007 to June 2009. The age range of patients was 28+/- 4 years. The duration of infertility was 4years (2-15years). All patients gave history of medical treatment with clomiphene or gonadotropins. 20 patients (20%) were diagnosed as PCOD. 25 cases (25%) had mild to moderate endometriosis and 30cases(30%) with pelvic inflammatory disease, 25 patients (25%) had strictly normal laparoscopic findings. LOD was done in 45 patients. 100%(45 patients) ovulated and 91.% (cases) conceived at 18 months. 22 patients (48.8%) delivered one month back and one more patient is due after one month making pregnancy rate of 48.8% which is comparable to 50% pregnancy rate in previous studies