International Journal of Gynecological Endoscopy

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VOLUME 1 , ISSUE 1 ( January-March, 2017 ) > List of Articles

ORIGINAL ARTICLE

Study of Combined Laparoscopic and Hysteroscopic Findings in 100 Cases of Infertility

BS Jodha, Preeti Chawla

Citation Information : Jodha B, Chawla P. Study of Combined Laparoscopic and Hysteroscopic Findings in 100 Cases of Infertility. Int J Gynecol Endsc 2017; 1 (1):5-10.

DOI: 10.5005/jp-journals-10058-0002

License: CC BY 3.0

Published Online: 01-08-2013

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Objectives

To study the role of combined diagnostic laparoscopy and hysteroscopy in evaluation of female infertility.

To find out different factors associated with infertility.

To provide concurrent therapeutic management.

Materials and methods

A total of 100 women underwent combined diagnostic laparoscopy and simultaneous diagnostic hysteroscopy during the period from January 2015 to December 2015 in the Obstetrics and Gynecology Department, Umaid Hospital, Dr. Sampurnanand Medical College, Jodhpur, Rajasthan, India.

Results

Age ranged from 21 to 38 years, and mean age was 25.98 years. Abnormal laparoscopic findings were noted in 41% cases, abnormal hysteroscopy seen in 24% cases, and 17% cases showed abnormality in both. Bilateral tubal patency was demonstrated in 81% cases. Tubal blockage was bilateral in 5% and unilateral in 9% cases. In 2% cases, bilateral block with beaded appearance found suggestive of tuberculosis. Of total 100 cases, 12% cases were found to have endometriosis, 8% had polycystic ovarian syndrome (PCOS), chocolate cyst was found in 5% cases, and 7% had functional cyst of ovary. Pelvic adhesions were found in 15% patients. Myomas were found in 8% cases. Endometrial polyps were revealed in 5% and Asherman’s syndrome in 6% patients. Combined laparoscopy and hysteroscopy was diagnostic in 17% of cases, 41% were diagnosed through laparoscopy alone, 24% through hysteroscopy alone, while in 18% cases findings were normal. In our study, tuboperitoneal factors were responsible for infertility in 40% cases, ovarian factors in 26% cases, and PCOS in 8% cases.

Conclusion

In our study, 74% of the cases had some form of tubo-ovarian pathology, which makes laparoscopy an essential tool of infertility workup. Although hysteroscopy alone was diagnostic in 30% of cases, its simultaneous use with laparoscopy provides cost-effective, comprehensive, and single setup diagnostic aid in these kinds of patients.

How to cite this article

Jodha BS, Chawla P. Study of Combined Laparoscopic and Hysteroscopic Findings in 100 Cases of Infertility. Int J Gynecol Endsc 2017;1(1):5-10.


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  1. Role of laparoscopy in infertility: review article. BIRDEM Med J 2012 Jul;2(2):99-103.
  2. ; Bourine, GL. The pathology of conception. In: Howkins J, Bourine GL, editors. Shaw’s text book of gynaecology. 13th ed. New York: Elsevier; 2004.
  3. Hysteroscopy in infertility – diagnosis and treatment including falloposcopy. Contrib Gynecol Obstet 2000;20:13-20.
  4. Combined hysterolaparoscopy as an early option for initial evaluation of female infertility: a retrospective study of 135 patients. Int J Reprod Contracept Obstet Gynecol 2015 Jun;4(3):584-588.
  5. The uterine factor in infertility. Fertil Steril 1972 Feb;23(2):138-158.
  6. Evaluation of outpatient hysteroscopy, saline infusion hysterosonography, and hysterosalpingography in infertile women: a prospective, randomized study. Fertil Steril 2000 Nov;74(5):1029-1034.
  7. Laparohysteroscopy in female infertility: a diagnostic cum therapeutic tool in Indian setting. Int J Appl Basic Med Res 2015 Jan-Apr;5(1):46-48.
  8. Effect of hysteroscopy performed in the cycle preceding controlled ovarian hyperstimulation on the outcome of in vitro fertilization. Fertil Steril 2003 Mar;79(3):637-638.
  9. Should diagnostic hysteroscopy be a routine procedure during diagnostic laparoscopy in women with normal hysterosalpingography? Reprod Biomed Online 2002 May-Jun;4(3):256-260.
  10. Complications of hysteroscopy: a prospective, multicenter study. Obstet Gynecol 2000 Aug;96(2):266-270.
  11. Investigation of the infertile couple: should diagnostic laparoscopy be performed in the infertility work up programme in patients undergoing intrauterine insemination? Hum Reprod 2003;18(1):8-11.
  12. Laparoscopy in the “normal” infertile patient: a question revisited. J Am Assoc Gynecol Laparosc 2000 Aug;7(3):317-324.
  13. Infertile couples with a normal hysterosalpingogram. Reproductive outcome and its relationship to clinical and laparoscopic findings. J Reprod Med 1995 Jan;40(1):19-24.
  14. Benefit of diagnostic laparoscopy for patients with unexplained infertility and normal hysterosalpingography findings. Tohoku J Exp Med 2009 Sep;219(1):39-42.
  15. Should diagnostic hysteroscopy be a routine procedure during diagnostic laparoscopy in infertile women? Bosn J Basic Med Sci 2008 Feb;8(1):44-47.
  16. Pan endoscopic approach “hysterolaparoscopy” as an initial procedure in selected infertile women. J Clin Diagn Res 2014 Feb;8(2):95-98.
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