Publication:

Study of correlation of clinical and laparohysteroscopic diagnosis among infertile patients

Background To find the prevalence of infertile patients during the study duration of 24 months. To study the indications and findings of diagnostic hysteroscopy and laparoscopy and to correlate the laparo-hysteroscopy findings with the clinical diagnosis of the patients.

Methods Hospital based observational cross-sectional type of study for a duration of 24 months. 80 infertility patients in between the age of 18-40 years who underwent laparo-hysteroscopy were selected. Descriptive statistical analysis was carried out in the present study.  Data analysis done by using SPSS (Statistical Package for social sciences) version 25:0. Using KAPPA statistics significance was assessed as 5% level of significance.

Results Pre valance of infertile patients during the study duration was 6.06%. Majority of patients (34) 42.5% were in age group 26-30 years. 80% of patients had primary and 20% had secondary infertility. 43 patients i.e. 53.75% of study patients had some abnormal findings which were diagnosed with the help of laparoscope. Maximum patients had pelvic pathology (endometriosis) as an abnormality constituting 20% of the study group followed by 15% of tubal pathology. 29 patients i.e. 36% of study patients had some abnormal findings which were diagnosed with the help of hysteroscope. 11 (13.75%) patients had synechiae followed by 10 patients i.e. 12.5% had intrauterine septum on hysteroscopy.

Conclusions Laparo-hysteroscopy has proved to be an effective, safe and minimally invasive tool in evaluation and treatment of infertile patients.