Laparoscopic Assessment and Occurrence of Endometriosis in Women Experiencing Infertility: A Forward-Looking Study: Pemeriksaan Laparoskopi dan Kejadian Endometriosis pada Wanita yang Mengalami Infertilitas: Sebuah Studi Berwawasan ke Depan

Maysoon Sami Khraibet (Maternal medicine fellowship .Al Alwaya maternity hospital .Baghdad, Iraq.)
Nadia Ridha Atiyah (Senior specialist in Obstetric and Gynaecology Al-Elwiah teaching hospital Baghdad-Iraq)
Tuorkia Sheerza Aziez (specialist. Maternity teaching hospital. Erbil -Iraq.)

Academia Open
Vol. 9 No. 2 (2024): December

Background: Endometriosis is characterized by the presence of endometrial tissue outside the uterus There are no definitive signs or symptoms associated with endometriosis, and its presentation can be different based on the affected areas. It is a prevalent cause of various degree of infertility among younger women. The management approach of endometriosis may involve both medical and surgical therapy. Laparoscopic procedures have shown promising results in enhancing fertility prospects for young women suffering from endometriosis. Methods: This study included women diagnosed with endometriosis after experiencing infertility. A comprehensive history was taken, focusing on symptom duration, any additional co-morbidities, and the length of infertility. All patients underwent diagnostic laparoscopy. Based on the site and severity of the endometriosis, procedures such as adhesiolysis, excision, and ablation of endometrial lesions were performed. Patients were monitored, and instances of successful pregnancies (both spontaneous and those resulting from assisted reproductive techniques) were documented. Results: Among the 100 cases studied, endometriosis was identified in 12 patients (11.5%). The most frequently affected age group was 26-30 years (47.83%). A total of 9 patients (78.26%) had primary infertility, while the remaining 5 patients (21.74%) experienced secondary infertility. The ovaries were the most commonly affected site, involved in all cases. Surgical interventions performed included cystectomy (30.43%), endometrioma drainage and fulguration (13.04%), and adhesiolysis (34.78%). Of the 9 patients who achieved successful ovulation following laparoscopic surgery, 6 (66.66%) went on to complete their pregnancies successfully. Conclusions: Laparoscopic procedures for infertility provide both diagnostic and therapeutic benefits and yield favorable outcomes concerning successful pregnancies. Highlights: Endometriosis impacts fertility: Laparoscopy is crucial for diagnosis and treatment. Surgical interventions: Enhance fertility by addressing endometrial lesions. Study focus: Infertile women, ages 18-40, with laparoscopy-confirmed endometriosis. Keywords: Endometriosis, Infertility, Laparoscopy, Reproductive Health, Surgical Intervention