Anil and Anita were very depressed and disap­pointed, as were their family members. They were married for 5 years but had no child. As suggested by their friends, they went to various clinics and spent a lot of money on expensive treatments. They didn't know that these too have limited success-rates. They still didn't get any results!

It is a better way to go step by step to know the cause of infertility first. So, expensive treatments may not be required at all!

Let us review the common causes:

• Male factor - defect of sperms, absence of sperm, impotence.
• Defect in ovulation, polycystic ovaries.
• Fallopian tube blockage.
• Uterus defects - Tumours, inborn defects, infection.
• Pelvic adhesion, endometriosis.
• Unexplained infertility.

Amazing Role of Laparoscopy: Laparoscopy has indeed revolutionised the treatment of infertility. It can be used in various causes:

• Polycystic ovaries can be effectively drilled, so that natural ovulation occurs.
• Fallopian tube blockage can be opened in many cases.
• Tumours of uterus and inborn defects can be removed in combination with hysteroscopy.
• Pelvic adhesions can be separated.
• Endometriosis and endometriotic cysts can be removed.

By this amazing method, there is no pain and ugly scar of a big 'open' cut and stitches on the abdomen. In this most modern and advanced technique, the entire procedure is performed through tiny 0.5-lcm holes. So, it is also called "key-hole" and "minimally invasive" procedure. The patient can sit up and drink liquids after only a few hours, and go home the next morning. The cost is very affordable.

In unexplained infertility, where no cause is found, laparoscopy can often detect adhesions, endometriosis etc and correct it in the same sitting.

Under guidance of a Laparoscopy specialist. Anil and Anita went through the step by step approach. The cause of infertility was detected and treated effectively. Soon Anita was preg­nant entirely by natural methods and delivered a lovely child. In contrast to expensive treatments they had un­dergone before, this approach was very effective and economical too.