Female factor infertility: Laparoscopic evaluation at a public health facility in Ilorin, Nigeria.
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Date
2017
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Journal ISSN
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Publisher
College of Medicine KLE University, Belgaum, India
Abstract
BACKGROUND: Infertility is a problem of global proportions, the majority being the residents of
developing countries. The contribution of female factor is assuming a tremendous proportion. Laparoscopy
remains an indispensable tool in the evaluation of the fertility potential of these female partners.
AIMS: This study was aimed at determining the various causes of female factor infertility among
female partners of infertile couple in a tertiary health facility.
METHODS: A cross-sectional observational study of ninety seven (97) eligible infertile women who
underwent diagnostic laparoscopy between 1st January 2012 and 31st December 2015 were enrolled
for the study. The data were analyzed using SPSS/PC version 16.0 and p value was preset at <0.05.
RESULTS: The patients aged 21-50 years with a mean age of 33.2 ± 6.6 years. Majority (79.4%) were
nulliparous. Fifty (51.5%) had primary infertility. Their duration of infertility ranged from 1to 33years (5.7
± 5.5 years). Most (63.9%) belong to middle social class and their spouse age ranges between 28-60
years (39.0 ± 7.5). More than a quarter had clomiphene resistant Polycystic Ovarian Syndrome, 19
(19.6%) tubal blockage, 13 (13.4%) uterine fibroid and 10 (10.3%) each had endometriosis, peritubal
and ovarian adhesions, ovarian cyst and normal findings respectively. There was significant association
between patients’ age, intra-operative findings and tubal patency evaluation on laparoscopy (P < 0.05).
CONCLUSION: Laparoscopic procedures are less invasive, more convenient and more precise for
diagnosis of infertility in women. The common causes responsible for infertility were polycystic ovarian
syndrome, tubal occlusion, uterine fibroid, endometriosis, peri-tubovarian adhesions and ovarian cyst.
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Keywords
female factor, Ilorin, Infertility, tubal patency