Unexplained Infertility
SYMPTOMS
A 26 year old woman presented for a second opinion. She had unexplained infertility. She had no pain. She had had an unsuccessful cycle of IVF elsewhere.
DIAGNOSIS
She was not keen to do IVF again and thus underwent a Laparoscopy. This diagnostic procedure revealed significant full thickness bowel endometriosis (involving recto-sigmoid). The ovaries were both normal and mobile.
PROCEDURE
She subsequently underwent a Laparoscopic Bowel Resection.
OUTCOME
She recovered well from this procedure. She achieved a successful pregnancy following natural conception.
Puckered and pigmented area is full thickness bowel endometriosis (involving recto-sigmoid)
The bowel has been mobilised and the area of endometriosis removed. A normal right ovary is seen.
The (normal) bowel has been joined onto (normal) rectum. The end of the operation