Laparoscopic adhesiolysis for subfertility

Abstract

Aim: Laparoscopic adhesiolysis has been associated with pregnancy rates of 12% to 58%. This study looks at our experience with laparoscopic adhesiolysis in the management of subfertile patients. Method & Results: Between January 1992 and March 1995, 27 subfertile patients who had laparoscopic adhesiolysis done were studied. Four patients (15%) had a second look laparoscopy. The overall pregnancy rate (after excluding 6 patients with bilateral tubal blockage or severe male factor) was 33% (7/21). The take home baby rate was 14.3% (3/21) and the ectopic pregnancy rate was 4.7% (1/21). Conclusion: Laparoscopic adhesiolysis still remains a useful and effective procedure for infertile couples with pelvic adhesions.