Open AccessLaparoscopy Versus Culdoscopy in the Investigation of Infertility
Author(s) -
Fredricsson Bengt
Publication year - 1974
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016347409156901
Subject(s) - medicine , endometriosis , laparoscopy , infertility , pelvis , gynecology , endoscopy , pelvic endometriosis , surgery , pregnancy , biology , genetics
. Some advantages and disadvantages of laparo‐scopy and culdoscopy are illustrated in a study on 174 infertile women divided into three groups. The three groups were similar in relation to age, number of previous pregnancies and duration of infertility. The first group comprises 52 women who underwent culdoscopy, the second 49 women who underwent laparoscopy. Unexpectedly, more cases of endometriosis were found in the culdoscopy group, whereas adhesions were more frequent in the laparoscopy group. This was interpreted to be due to unawareness of the fact that endometriosis is more often situated in the lower pelvis whereas adhesions may be found also in the upper pelvis. The third group of cases comprises 73 laparoscopies undertaken after reaching the above conclusions. Consequently the ovaries were examined with more care than before and endometriosis was diagnosed more frequently. These findings should remind the laparoscopist that endometriosis is more often present in the underside of the ovary.