Diagnostic and Therapeutic Role of Combined Hysterolaparoscopy in Female Infertility

Abstract

Objective: We designed this study to evaluate the role of combined hysterolaparoscopy in female infertility and the incidence of
various pathological conditions in the female reproductive tract leadingto infertility.
Materials & Methods: We conducted this prospective observational study in BLDE(DU) Shri B M Patil Medical College and
Research Centre, Vijayapur hospital from the year 2019 to 2021. Complete information regarding baseline endocrinal investigations,
ovulation study, postmenstrual HSG, and semen analysis of husbands was collected. Under general anaesthesia Diagnostic
Hysterolaparoscopy was performed, for examining the Uterine civity pathology, 0.9% normal saline was used to dilate the uterine
cavity. Meanwhile, laparoscopy was performed and chromo perturbation done to assess the tubal patency. Both Hysteroscopic and
Laparoscopic findings and procedures performed were noted.
Results: The major reason in the overall study group was ovarian factors (12 cases 24% ratio) while no pathology was found in 16
(33%) cases. The tubal blockage was reported in 9 (18.5%) while uterine factors affected 8 (16.5%) cases (Table 2). In the primary
infertility group 18 (53.8%) cases show normal laparoscopy results, 11(29.4%) had PCOS, and 1 (3.8%) had peritubular adhesions.
Comparatively, the secondary infertility group revealed normal laparoscopy results in 4 (31.8%) cases, 2 (4.5%) PCOS cases, 5
(40.9%) tubal blockage, and 3(13.6%) cases of PID. Hysteroscopic findings revealed 12 (7.6%) cases of fibroids, 4 (2.5%) cases of
polyps, and 2 (1.2%) cases of cervical stenosis whereas 4 (9%) cases of synechiae, 2 cases of fibroids, 2 cases of polyps and 2 cases
of the foreign body observed in secondary infertility group.
Conclusion: In the end, we observed positive outcomes of hysterolaparoscopy in diagnosing structural abnormalities in infertile
patients.