The prevalence of endometriosis in the infertile women in mosul

Objective: To measure the prevalence of endometriosis in the infertile woman, its severity and its relation to the age of women. Study Setting: Infertility Centre at Al –Batool Teaching Hospital in Mosul. Study Design: Patient series study design. Patients and Methods: The total number of patients attending the infertility centre was (8553). The number of patients enrolled for the study was (477) from July 2004 to July 2006. Their ages were between 21 and 43 years old (mean age 28.22±5.37). All the patients were evaluated by history, physical examination and investigations included tests for ovulation, hormone analysis, Hysterosalpingography for tubal patency and laparoscopy. According to the laparoscopic findings 37 patients diagnosed as endometriosis. These divided into three groups. A- mild. B-Moderate and C-as severe according to staging by Revised American fertility society system (RAFS) classification of endometriosis in 1985. Results: Thirty Seven patients diagnosed as endometriosis which account for 7.75% of infertile women. 25 of them had mild disease which account for 67.56%, 6 patients had moderate disease which account for 16.22% and 6 patients had severe disease which account for 16.22% of the endometriotic patients. The prevalence of endometriosis confirmed by Laparoscopy was greatest among women between 25 and 35 years old mean age, mean age (28.03±1.86). Conclusion: This study revealed that significant number of infertile women has endometriosis and had accounted for 7 .75% of the infertile women. The majority of the patients had mild endometriosis and highlighted Successful management of these cases in our centre was achieved following super ovulation and intra uterine insemination (IUI). However those with moderate and severe endometriosis may need surgical interference and more advanced technecology of assisted reproductive technique (ART) like invitro fertilization (I.V.F) and intracytoplasmic sperm injection (ICSI).