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Comparative study of role of laproscopic fulgration and low dose danazol therapy for minimal to moderate endometriosis in case of infertility

Author: 
Dr. Aruna Goyal, Dr. Upendra Bharadwaj, Dr. Dilaver and Dr. Nikhil
Subject Area: 
Health Sciences
Abstract: 

Aims and Objective: To study the role of laproscopic fulgration and Low dose danazol therapy for minimal to moderate endometriosis in case of infertility followed by comparision of both therapy. Materials and Methods: The present cross–sectional study was conducted in the department of obstetrics and gynecology SN Medical college Agra. Over the period from Dec2010 to Nov 2012. Symptomatic women (n=50) of age group 20-39 yrs coming to gynecology OPD were selected for study group. The study group was subjected to detailed history, physical examination laboratory test, ultrasound examination, laproscopy. Then 25 patient were allotted for laproscopic fulgration and 25 for danazol treatment. Result: In our study out of 50 patient that transvaginal sonography we found that 10%of patient have cyst <2cm size and 20% have >2cm size, rest 70% have normal scan. On laproscopy 52% of patient have red lesion, 16% have bluish black lesion, 20% have yellow brown lesion rest 22% have no findings. On danazol therapy pelvic pain and dysmenorrhoea was relieved in 64% and 52% conceived. On laproscopic fulgration symptom was relieved in 69% and 60% was conceived. Conclusion: Based on this study it can be concluded that choice of therapy depend on age of patient, duration of infertility, physical findings, goal of surgery, experience of surgeon, availability of resources. In this study result was comparabile.

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