title: Laparoscopy:as a first line diagnostic tool for infertility evaluation.
abstract: BACKGROUND
  The role of diagnostic and therapeutic hystero-laparoscopy in women with infertility is well established. It is helpful not only in the identification of the cause but also in the management of the same at that time.
  
  
  METHODS
  In this study, the aim was to analyse the results of 203 women on whom laparoscopy for the evaluation of infertility was done. This study was carried out at a tertiary level hospital from 2005 to 2012. The study group included 121 women with primary infertility and 82 women with secondary infertility. Women with incomplete medical records and isolated male factor infertility were excluded from the study.
  
  
  RESULTS
  It was observed that tubal disease was the responsible factor in 62.8% women with primary infertility and 54.8% women with secondary infertility followed by pelvic adhesions in 33% and 31.5%, ovarian factor in 14% and 8.5%, pelvic endometriosis in 9.9% and 6.1% women respectively. Thus tubal factor infertility is still a major cause of infertility in developing countries and its management at an early stage is important to prevent an irreversible damage. At the same time, it also directs which couples would be benefited from assisted reproductive technologies (ART).
authors.affiliation: Consultant Infertility and High-Risk Pregnancy, 89 North Speciality Clinic , Kamla Nagar, Delhi, India .
authors.forename: Geetika
authors.initials: G
authors.lastname: Jain
authors.affiliation: Specialist, Department of Obstetrics and Gynaecology, Balak Ram hospital , Timarpur, Delhi, India .
authors.forename: Ritu
authors.initials: R
authors.lastname: Khatuja
authors.affiliation: Scientist C, National Institute of Medical Statistics (ICMR) , Ansari Nagar, New Delhi, India .
authors.forename: Atul
authors.initials: A
authors.lastname: Juneja
authors.affiliation: HOD, Department of Obstetrics & Gynaecology, Babu Jagjivan Ram Hospital , Delhi, India .
authors.forename: Sumita
authors.initials: S
authors.lastname: Mehta
keywords: Endometriosis; Infertility; Laparoscopy; Pelvic adhesions; Tubal disease