Use of laparoscopy in unexplained infertility

Area of Science:

• Reproductive Medicine
• Minimally Invasive Surgery
• Gynecology

Background:

• Unexplained infertility diagnosis remains debated.
• Laparoscopy is the gold standard for pelvic pathology.
• Its role in unexplained infertility requires further assessment.

Purpose of the Study:

• To evaluate pelvic pathologies found during laparoscopy in unexplained infertility.
• To determine pregnancy rates after laparoscopy in these patients.

Main Methods:

• Prospective study of 114 women with unexplained infertility.
• Exclusion of other infertility causes.
• Laparoscopy performed after failed ovulation induction/intrauterine insemination.

Main Results:

• Pelvic pathology found in 95 patients (endometriosis, adhesions, tubal disease).
• Tubal patency confirmed in 112 patients.
• Pregnancy rate of 75.5% (77/102) after laparoscopy, with 35 conceiving naturally.

Conclusions:

• Diagnostic laparoscopy is strongly recommended for unexplained infertility.
• Tubal efficiency is a critical factor and should not be underestimated.