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MEDICAL ANIMATION TRANSCRIPT: Diagnostic pelvic laparoscopy is used to examine the internal organs of the pelvis in an effort to identify a specific problem. You might be advised to undergo diagnostic pelvic laparoscopy if you have pelvic pain or a mass, an abnormal accumulation of fluid, or difficulty becoming pregnant. These may be caused by endometriosis, tubal pregnancy, an ovarian cyst or tumor, scarring from pelvic infections, or other conditions.