Unexplained infertility; How far laparoscopy can disclose the causes

Abstract

Background: Unexplained Infertility is a complex medical disorder that requires the evaluation and treatment of a couple rather than an individual in which the three standard fertility screening tests looking normal. Objective: To identify the underlying causes of infertility in women suffering from unexplained infertility via using laparoscopy. Patients and Method: A prospective clinical observation study conducted at Al-Elwyia Maternity Teaching hospital at Obstetrics and Gynecology department during the period from the first of February 2019 to the first of August 2019.Results: Fifty women with unexplained infertility were included in the study, their main age group (46.0%) were between (25-29) years and (70.0%) of them are with primary infertility. Their mean duration of infertility was 55± 29 (months). (98%) were presented with patent tubes and only one (2.0%) patient showed one blocked tube by hysterosalpingography. Evidence of pelvic pathology was seen in (76.0%) of the patients and endometriosis constituted about (68.4%) of pelvic pathology while simple peri tubal adhesion was found in12/38 patients (31.6%). Conclusion: The main pathology seen in women with unexplained infertility was pelvic endometriosis in 26/38 patients, followed by simple peri tubal adhesion.