Laparoscopy For Unexplained Infertility

In patients with unexplained infertility, ovulation induction is planned with or without IUI for 3-6 cycles. However, no RCTs have evaluated the effects of diagnostic laparoscopy after failed ovulation induction, failed ovarian stimulation with or without IUI, or failed ART cycles; however, at least 50% of patient pathologies, such as endometriosis or adhesions, can be detected if laparoscopy is performed. In addition, no evidence suggests that laparoscopy with adhesiolysis before ART increases the pregnancy rate in ART cycles.