OBJECTIVE: The use of laparoscopy in @entity249 work-up is still a subject of debate, although laparoscopy remains the gold standard for diagnosis and treatment of several pelvic pathologies. The objective of this study was to assess the rates and types of pelvic pathologies observed during diagnostic laparoscopy, and the pregnancy rate in couples with @entity249 following laparoscopy. STUDY DESIGN: Prospective study, from November 2003 to October 2009, including 114 infertile, spontaneously ovulating @entity1 with normal clinical examination, ovarian reserve assessment, pelvic ultrasound scan and patent tubes on hysterosalpingography. Semen analyses were normal according to the World Health Organization criteria. After three cycles of ovulation induction with or without intra-uterine insemination and no pregnancy, @entity1 were referred for diagnostic laparoscopy. RESULTS: Laparoscopy revealed pelvic pathology in 95 @entity1 . Endometriosis, @entity530 were observed and treated in 72, 46 and 24 @entity1 , respectively. Following laparoscopy, bilateral and unilateral tubal patencies were observed in 107 and five @entity1 , respectively. Pregnancy was observed in 77 out of 102 @entity1 who tried to conceive after surgery, 35 of whom conceived using their own tubes. CONCLUSION: Diagnostic laparoscopy should be strongly considered in @entity249 work-up, and tubal efficiency should not be underestimated.

Use of laparoscopy in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'women'] @entity249 :: ('MESH:D007246', 'Disease') :: ['unexplained infertility'] @entity530 :: ('MESH:D010386', 'Disease') :: ['pelvic adhesions and tubal disease']
@entity249 :: (MESH:D007246,Disease) :: ['unexplained infertility']
