**4.3. Diagnosis**


The Role of Endoscopy in Management of Infertility 17

fallopian tube removal, has become the preferred method of surgical treatment.

During treatment, physicians should examine patients at least weekly and sometimes daily. Serial beta-hCG measurements should be taken after treatment until the level is

There are a number of possible disorders that can cause a pelvic mass. Some are common, while others are quite unusual or even rare. The physical exam should include visualization and palpation of the abdomen. The next step is usually an imaging study, such as

There are several different types of ovarian cysts, the most common being functional cysts. Often, ovarian cysts do not cause symptoms. Women in the age group of thirty to sixty are more prone to having ovarian cysts.The follicular cysts are easily identified on vaginal sonography, usually measure a few millimeters to a few centimeters in size, and rarely become symptomatic. If they enlarge in size they may rupture, producing transient abdominal pain. Ovarian cysts can cause several other problems if they twist, bleed, or

Ovarian dermoid cyst, also known as mature teratoma, is a non cancerous ovarian tumor, which is more commonly found in young women. Although dermoids are non cancerous, in some rare cases, they might develop into cancerous growth. Dermoid cysts may contain substances such as nails and dental, cartilage like, and bonelike structures. These growths can develop in a woman during her reproductive years. Dermoids can range in size anywhere between two to ten centimeters. It is very difficult to identify the presence of these cysts inside the ovaries as they do not produce any symptoms. They can cause torsion, infection, rupture, and cancer. These dermoid cysts can be removed with either conventional surgery or laparoscopy. Ovarian dermoid cysts do not affect the fertility of the

Laparoscopy has similar tubal patency and future fertility rates as medical treatment.

**Follow-up and prognosis** 

**Adnexal mass in infertility** 

ultrasound, CAT scan, or MRI

**Differential diagnoses** 


**Follicular cysts** 

rupture

woman.

**Dermoid cyst** 

undetectable.

