Endocrine Abstracts

Infertility affects milions of couples worldwide. Determining the exact cause represents a real challenge and may require a complex work-up.

Objective: To asses the main etiological factors of female infertility and the best treatment.

Methods: Retrospective study which included 150 women diagnosed with infertility in a Romanian tertiary center. The median age was 30.5 years (20–41), 65.3% (n=98) of the patients were diagnosed with primary infertility and 34.4% (n=52) of the patients had secondary infertility.

Results: The patients underwent diagnostic laparoscopy and by case therapeutic intervention. The most frequent etiological factors were: polycystic ovaries (20.8%), endometriosis (18.4%), bilateral hydrosalpinx (14.4%), peritoneal adhesions (13.6%). There was an increased frequency of polycystic ovary cases in both primary and secondary infertility. 26 patients with polycystic ovaries underwent ovarian drilling.

Conclusions: In the cases of infertility laparoscopy represents a complementary diagnostic method and can offer diagnosis and treatment in the same time and can identify the discrete lesions that can explain the cases of idiopathic infertility. In our study the most common cases of infertility were: polycystic ovaries, endometriosis and hydrosalponx.