[Laparoscopy and infertility].

Laparoscopy's most important role is in the area of female infertility. This article analyzes laparoscopy under various aspects. The place of laparoscopy in infertility is examined: laparoscopy is not necessary in all cases of female infertility; when necessary it should be performed under certain conditions which are listed. The indications of laparoscopy in the case of infertility are enumerated. The reason why laparoscopy has such an important place in infertility is that it is the only investigation which allows evaluation of the fallopian tubes and ovaries; the control of the tubal permeability can be done by insufflation or hydrotubation with procedures described. Other functions of laparoscopy in infertility are listed. Laparoscopy should only be performed by experienced surgeons. The indications and results of ovarian biopsy are analyzed; a chart illustrates the findings. Biopsy by itself does not justify laparoscopy. The author believes that the patient should always receive a report of the laparoscopy. The advantages of laparoscopy after an operation for infertility are discussed. Laparoscopy should be performed on infertile women; nothing should be done that might make their infertility worse.