Citation Information :
Thakral V, Garg S, Suren P. Evaluation of Endometriosis in Infertility: Incidence, Clinical Features, and Laparoscopic Findings. J Mahatma Gandhi Univ Med Sci Tech 2020; 5 (3):73-76.
Background and objective: Endometriosis is defined as the presence of endometrial glands and stroma-like lesions outside of the uterus. To study the incidence, clinical features, and their association with laparoscopic findings in patients with endometriosis who underwent evaluation for infertility. Materials and methods: It is a hospital-based prospective study conducted at the Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Hospital, Jaipur, from January 2019 to June 2020 among women with complaints of infertility who underwent diagnostic hysterolaparoscopy. Results: In our study, out of 104 infertile patients who underwent diagnostic laparoscopy for evaluation of infertility, 32 patients (30.8%) had endometriosis, 21 patients had involvement of pouch of Douglas (POD) followed by the uterus and the ovaries. Most of the patients belonged to stage III (37.5%) followed by stage I and stage II. 22.1% of patients with endometriosis had dysmenorrhea followed by chronic pelvic pain and dyspareunia in 18.3 and 14.4%, respectively. In our study, 68.8% of patients with endometriosis had primary infertility and 31.2% had secondary infertility. Symptoms, such as, chronic pelvic pain, dysmenorrhea, and dyspareunia, in endometriosis patients were statistically significant. 65.7% of patients with endometriosis had adhesion. Conclusion: Endometriosis in infertile females is very common and it is increasingly being detected by diagnostic modalities like laparoscopy in the evaluation of infertility. Though most females are asymptomatic or have symptoms like dysmenorrhea, chronic pelvic pain, and dyspareunia which raise the suspicion of endometriosis.
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