Tubal Factors: A Laparoscopic Evaluation in Case of Patients with Subfertility

Abstract

Background: Tubal factors are one of the most common factors responsible for Subfertility in females while an accurate diagnosis is the key to successful treatment. Laparoscopy is the standard means of diagnosing the tubal pathology. This study was effort to evaluate the tubal factors among subfertile women through diagnostic laparoscopy.

Materials and methods: The hospital based observational cross-sectional study was conducted in the Inpatient Department of Obstetrics & Gynaecology in Dinajpur Medical College Hospital from June 2018 to May 2019. Subfertile women either primary or secondary causes were investigated for tubal disease and were enrolled into the study according to inclusion and exclusion criteria. After selecting the patients, informed written consent were taken from the subjects. All patients were subjected to detailed history, clinical examination, relevant investigation and diagnostic laparoscopy. Data were collected by using semi-structured questionnaire designed for the study by the researcher.

Results: Mean age of respondents was 34.28±5.46 (SD) years with majority patients in age group 31-35 years (32.43%). Duration of subfertility was 1 to 5 years among 64.90% respondents, 6-10 years in 28.40% and more than 10 years in 6.80%. Of all, 72.97% had primary Subfertility and 27.03% had secondary subfertility and 60.81% respondents had tubal pathology. The tubal pathology found in this study was unilateral block 14.8% (n=8) in case of primary subfertility and 30% (n=6) in case of secondary subfertility, Bilateral block 9.3% (n=5) in case of primary subfertility and 15% (n=3) in case of secondary subfertility. Peritubal adhesion, signs of endometriosis and hydosalphinx had been found among 7.4% (n=4), 18.5% (n=10) and 3.7% (n=2) in case of primary subfertility respectively and much higher in case of secondary subfertility as 25% (n=5) 15% (n=3) and 15% (n=3) respectively. Only 13.52% respondents experienced complications following laparoscopy which included nausea, vomiting, pyrexia and right shoulder tip pain.

Conclusion: More than half of the population had been found to have tubal pathology responsible for subfertility during diagnostic laparoscopy which included tubal block, peritubal adhesion, hydrosalpinx and tubo ovarian mass.

JBRMC, Volume 08   Issue 02  July 2026 ; 3-9