Background: Laparoscopy remains a key diagnostic tool in evaluating female infertility, particularly for tuboperitoneal and peritoneal pathologies that may remain undetected through non-invasive methods.
Materials and Methods: This prospective study included 80 infertile women who underwent diagnostic laparoscopy to identify underlying etiological factors. Findings were compared between primary and secondary infertility.
Results: Tubal block, ovarian abnormalities, adhesions, and endometriosis were commonly observed. Secondary infertility demonstrated higher rates of bilateral tubal block and adhesions, while primary infertility frequently involved ovarian pathology and minimal endometriosis. Normal findings remained an important subset, especially in primary infertility.