[Diagnosis of the principle cause for sterility in a couple, based on laparoscopic examination]

A complex laparoscopical approach is demonstrated, whereby clinical failure of spermiogenesis, cervical, ovarian and tubal factor of the female sterility can be detected at a single examination. Spermatozoa are aspirated from the abdominal cavity and peritubal regions following sexual intercourse or artificial "ab uxore" insemination (A. I. D.). If spermatozoa are found, the cervical factor can be excluded and the spermatozoal vitality assessed. The surgery is planned at the periovulatory period after priming a patient with clomiphene (Gravosan Spofa) and HCG (Praedyn Spofa). Follicular fluid is aspirated from large preovulatory follicles and search is done for oocytes whose maturational stage is correlated with plasma hormone levels. The examination is completed with chromoperturbation of oviducts. Out of 23 such laparoscopic examinations, the diagnosis was set down in 18 cases and 6 women became pregnant after treatment.