Prevalence of Endometriosis in Patients with Subfertility
Objective: To calculate prevalence of endometriosis in patients presenting with subfertility. Study Design: Descriptive study. Settings: Gynae Unit-III, Allied Hospital, FMU, Faisalabad Pakistan. Duration: 01-01-2016 to 31-12-2018. Methodology: 160 female patients presented in infertility clinic fulfilling the inclusion criteria were selected for study. There detailed history and abdomino pelvic examination was done to find any mass or cyst, tenderness in adnexa, uterine tenderness or morbility and nodularity in pouch of douglas. After basic investigations, TAS/TVS was done in all patients. Laparoscopy was done in all patients under general anesthesia. Disease was classified using R-AFS classification score. Laparoscopic cauterization of lesion, adhesiolysis or cystectomy was done whatever required. Choromtubation was done in all patients. Results: Among 160 patients who underwent laparoscopy, 44 (27.5%) patient had findings suggestive of endometriosis. Majority of the patients belongs to 20-30 years (70%) while (30%) were in 31-40 years of age. Type of subfertility was primary and secondary in 75% and 25% respectively. Stage of endometriosis according to R-AFS classification was 1-2 and 3-4 in 40% and 60% respectively. 27% patient had bilateral tubal blockage. No major complication took place in any patient, however, in 10 patients (22.7%) lapascopy was converted to laparotomy due to dense adhesion with bowel. Conclusion: The prevalence of endometriosis in patients with subfertility is quite high. So, a prompt attempt at natural or assisted conception is required after surgical treatment of endometriosis.