علل و نتايج درماني ناباروري در بيماران تحت لاپاراسكوپي

The causes and therapeutic results of infertility through laparoscopy

This cohort study was performed on 140 infertile patients referring to a professional clinic of gynecology and infertility from 1383 (H. S.) to 1386 (H. S.). Having gone under primary clinical and para-clinical evaluations as well as medical treatments, these patients were nominated for laparoscopy in Aria and Mousa-ibn-Jaʹfar hospitals. According to the laparoscopic results, the patients were identified with either primary or secondary infertility. Then, the patients were treated accordingly. Finally, the follow-up evaluation of the fertility outcomes (pregnancy rate and miscarriage) was carried out within one year thereafter.74% of the patients were diagnosed with primary infertility cind the other 26% with secondary infertility. The most common cause of primary infertility was found to be PCOS while secondary infertility was mostly caused by tubal factor. The successful rate of pregnancy in patients with endometriosis was 58.1%; with tubal factor 44.1%; with PCOS 66.7%; with uterus anomaly 40%; with both PCOS and endometriosis 71.4%) and in patients with both PCOS and tubal factor, it was measured as 22.2%). As for miscarriage, the rate was found to be 6.4% in patients with endometriosis; 8.8%) in patients with tubal factor; 2.5% in those with PCOS and 11.1%) in the patients who were diagnosed with both PCOS and tubal factor. No miscarriage was observed neither in the patients with uterus anomaly nor in those with both PCOS and endometriosis. According to the results of this study, laparoscopy is a safe method in diagnosing tubal, pelvic and ovarian factors and can improve the fertility outcomes in the patients.