Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Infertility affects approximately 10-15% of reproductive-aged couples worldwide, with female factors contributing significantly to its etiology. Despite advancements in diagnostic modalities, many underlying causes remain undiagnosed, necessitating a comprehensive approach. Diagnostic hystero-laparoscopy has emerged as a gold-standard, minimally invasive technique for evaluating and managing infertility by identifying uterine, tubal and pelvic abnormalities. The study aimed to evaluate the diagnostic and therapeutic efficacy of hystero-laparoscopy in identifying and managing the underlying causes of infertility in women. This prospective observational study included 110 women with infertility, categorized into primary (n = 85) and secondary infertility (n = 25). All participants underwent diagnostic hystero-laparoscopy during the early follicular phase. Hysteroscopy assessed intrauterine pathologies, while laparoscopy evaluated tubal patency, ovarian and pelvic pathologies. Therapeutic interventions, including polypectomy, adhesiolysis and chromopertubation, were performed as needed. Data were analyzed to determine the prevalence of abnormalities and their impact on subsequent fertility outcomes. Abnormal findings were observed in 62% of patients on laparoscopy and 31% on hysteroscopy. The most common laparoscopic findings were ovarian pathologies (21%) and endometriosis (18%), while hysteroscopy revealed endometrial polyps (11%) and uterine septa (6%) as the predominant abnormalities. Tubal blockages were identified in 14% of cases, with bilateral tubal patency seen in 74%. Combined abnormalities were present in 22% of patients. Secondary infertility showed a higher rate of hysteroscopic abnormalities (48%) compared to primary infertility (26%). Diagnostic hystero-laparoscopy is a safe and effective tool for the comprehensive evaluation and management of infertility. Its dual-modality approach allows for simultaneous diagnosis and therapeutic intervention, improving fertility outcomes in affected women.
How to cite this article:
N.V. Priyanka, Pranadeep Reddy Inukollu and Kavya Arja. Role of Diagnostic Hystero-Laparoscopy in treatment of Infertility.
DOI: https://doi.org/10.36478/makrjms.2024.11.672.676
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.11.672.676