Publication:

Role of diagnostic hysterolaparoscopy in evaluation of female infertility

Background Infertility affects 10-15% of reproductive age couples. Routine pelvic examination and usual diagnostic procedures can miss majority of the pelvic pathologies. Hysterolaparoscopy is an effective tool for diagnosing these pathologies and additionally therapeutic procedures, like polypectomy, myomectomy, septal resection and adhesiolysis, can be done in the same sitting. Objective of present study was to determine the role of diagnostic hysterolaparoscopy for evaluating the causes of infertility.

Methods It was a prospective study conducted at the Department of OBGY from September 2015 to August 2016. Patients aged 20-40 years with infertility were included in the study. The prevalence of different lesions was analysed.

Results Out of the 30 patients studied, most had primary infertility. Laparoscopic abnormalities (56.6%) were more common than hysteroscopic abnormalities (36.6%). Adnexal adhesions (26.6%) was the most common abnormality detected on laparoscopy, while the common intra-uterine pathologies were uterine septum and synechiae.

Conclusions Hysterolaparoscopy may be recommended as the procedure of choice for evaluation of female infertility, which are usually missed by imaging modalities.