https://imcjms.com Ibrahim Medical College Journal of Medical Science https://imcjms.com/registration/journal_full_text/244 Sat, 08 Jul 2017 12:49:58 +0000 Laparoscopy examination is an important tool for evaluation of tubal pathology contributing to infertility and might play a major role in infertility management. Introduction With this background the present study was undertaken to assess different anatomical and pathological conditions of fallopian tubes by laparoscopy in infertile female patients. Materials and Methods Before admission, detailed history was taken and clinical examination was done. A set of basic investigations were carried out for fitness of anesthesia before laparoscopy. In suspected cases of thyroid disease serum thyroid stimulating hormone level was performed. To evaluate any follicular phase defect serum follicular stimulating hormone, luteinizing hormone and serum prolactin level were done. Finally, patients selected for laparoscopy were admitted on 18-21 days of their menstrual cycle. The study protocol was approved by the Ethical Committee of Bangladesh College of Surgeons and Physicians. Informed consent was taken from the participants before enrollment. Results             Introduction of laparoscopy has tremendously improved the ability to investigate long standing infertility. Uterus, tubes and ovaries can be visualized by laparoscopy directly and full information about concurrent pelvic pathologies can be obtained. In addition to the above, abnormalities of the uterus may cause infertility. In this study, fibroid uterus was found in 9% cases and bicornuate uterus was found in 2% cases which could be the contributing factors for infertility. References 2.   Chang YS. Lee JY, Moon SY, Kim J. G Diagnostic Laparoscopy in Gynaecological disorder. Asia Ocenia J. Obs and Gynae Col 1982; 13(5): 29-34. 4.   Otolorin EO, Ojengbede O and Falase AO. Laparoscopic evaluation of the tubo-peritoneal factor in infertile Nigerian women. Int J Gynecol Obstet 1987; 25(1): 47-52. 6.   Musich JR and Behrman SJ. Infertility laparoscopy in perspective: review of five hundred cases. Am J Obstet Gynecol 1982; 143(3): 293–03. 8.   Mol BW, Dijkman B, Wertheim P, Lijmer J, van der Veen F and Bossuyt PM. The accuracy of serum chlamydial antibodies in the diagnosis of tubal pathology: a meta-analysis. Fertil Steril 1997; 67(6): 1031–37. 10.Lavy Y, Lev-Sagie A, Holtzer H, Ravel A, Hurwitz A. Should laparoscopy be a mandatory component of the infertility evaluation in infertile women with normal hysterosalpingogram or suspected unilateral distal tubal pathology? Eur J Obstetrics and Gynaecology Reproductive Biology 2004; 114(1): 64-68. 12.Sinawat S, Pattamadilok J, Seejorn K. Tubal abnormalities in Thai infertile females. J Med Assoc Thailand 2005; 88(6): 723-727. 2026 Ibrahim Medical College. All rights reserved.