Diagnostic hysterolaparoscopy for evaluation of infertility: Our experience in a tertiary Care Hospital

Chanu, Sairem Mangolnganbi; Pal, Gouri Sankar Rudra; Panda, Sasmita; Singh, Ahanthem Santa

doi:10.4103/jhrs.jhrs_114_16

Cited by 15 publications

(28 citation statements)

References 16 publications

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“…In hysteroscopy, commonest intervention done was transcervical resection of septum which was 9% in both primary and secondary infertility followed by transcervical resection of myoma and polypectomy. 26,27,28 Conclusion:-…”

Section: Discussion:-mentioning

confidence: 93%

Combined Diagnostic Approach of HSG and Diagnostic Hysterolaparoscopy in Evaluation of Female Infertility.

Singh¹

2019

IJAR

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Hysterosalpingography (HSG), Diagnostic hysterolaparoscopy (DHL), Bilateral tubal patency(BP), Bilateral tubal blockage(BTB). Background: Since the history of mankind, human infertility has been a source of personal misery and social stigma. The aim of the present study is to assess the combined diagnostic approach of HSG and DHL in the evaluation of female infertility both primary and secondary and to identify the incidence of the various pathological conditions in the female reproductive tract leading to infertility and to study the advantages of diagnostic hysterolaparoscopy over hysterosalpingography. Method: The present study is a prospective observational study, conducted in the department O & G, SCBMCH, Cuttack. One hundred infertile patients were included in this study. All patients underwent both HSG and DHL. The standard protocols for HSG and DHL were followed. All reports on the 100 selected patients were reviewed. Result:In our study, 68% patients are in primary infertility and 32% in secondary infertility. Maximum number of patients with primary infertility were in the age group of 26-30 years i.e. 50% and 56.3% in secondary infertility. Tubal pathologies were the commonest of all followed by filling defects like myoma, polyps, synechiae and uterine anomalies in both HSG and DHL in both the primary and secondary infertility groups. Surgical interventions were done in 84% of primary infertility cases and in 97% of secondary infertility cases. The therapeutic measures were taken like polypectomy, myomectomy, septum resection during hysteroscopy. Most commonly done procedure in this study was adhesiolysis in 22-24% of cases followed by cannulation in15-22% cases. Conclusion: Our study found that Hysterosalpingography is simple, inexpensive, safe and rapid diagnostic modality for tubal patency then laparoscopy. Laparoscopy is considered the Gold Standard for diagnosing tubal and peritoneal disease. HSG and Laparoscopy are not alternative, but complimentary to each other but hysterolaparoscopy is more informative and operative intervention can be done in the same sitting.

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Section: Discussion:-mentioning

confidence: 93%

Combined Diagnostic Approach of HSG and Diagnostic Hysterolaparoscopy in Evaluation of Female Infertility.

Singh¹

2019

IJAR

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“…3 WHO estimated that the prevalence of infertility ranges from 3.9% to 16.8% in India. 4 Incidence of female infertility is 45.67%, male infertility is 54.33% and may be both can get involved in some of cases, range varies from region to region. 5 The current evidence indicates 9% prevalence of infertility (of 12 months) with 56% couples seeking medical care in more developed and 51.2% in less developed countries.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of female factors in infertility by diagnostic laparohysteroscopy in a tertiary health care centre

Garg

Paul

Ray

2020

Int J Reprod Contracept Obstet Gynecol

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Background: The inability to conceive is one of the most distressing conditions for a couple. It not only makes the female incomplete but also the social taboos attached are phenomenal. The problem of infertility as long as the recorded history of mankind. Fertility in our culture stands for reproductivity, growth and continuity. Reproduction is one of the basic essential for the survival of a species. Diagnostic laparoscopy & hysteroscopy have emerged as an accurate method of assessing, evaluating and treating infertility. Direct visualization of the abdominal and pelvic organs in laparohysteroscopy allows a definitive diagnosis to be made in many conditions where clinical examination and less invasive techniques such as ultrasound and hysterosalpingography fail to identify the problem.Methods: A prospective study was conducted in Department of Obstetrics and Gynaecology, AGMC& GBP Hospital Agartala. 50 infertile women suspected with pelvic (tubal, peritoneal, adnexal) and intrauterine (uterine polyp, septa, submucous fibroid, intrauterine adhesions) pathologies were included in the study for further evaluation and correlation of clinical findings with Laparohysteroscopy observations.Results: Out of 50 cases, 27 (54%) patients had primary infertility. While laparoscopy detected abnormalities in 60% of the cases, significant hysteroscopy findings were noted in 66% of cases. The most common laparoscopic abnormality was tubal (22%) ovarian and peritoneal (16%) in primary and secondary infertile patients respectively. On hysteroscopy, endometrial polyp (30%) was found as the commonest abnormality in both the groups.Conclusions: Laparoscopy and hysteroscopy are both diagnostic and therapeutic procedures. If pathology is discovered, it can often be treated simultaneously. Laparoscopy combined with hysteroscopy is the sole technique to have a direct view of the female reproductive tract and to find out the various causes of infertility.

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“…Infertility is defined by WHO as a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. 1 The prevalence of infertility is about 10%-15% of reproductive age couples. 1 WHO also estimated that the prevalence of infertility ranges from 3.9% to 16.8% in India.…”

Section: Introductionmentioning

confidence: 99%

“…1 The prevalence of infertility is about 10%-15% of reproductive age couples. 1 WHO also estimated that the prevalence of infertility ranges from 3.9% to 16.8% in India. 1 As per the estimates from Indian census data 2001, 1991 and 1981, researchers showed that childlessness in India has risen up.…”

Section: Introductionmentioning

confidence: 99%

“…1 WHO also estimated that the prevalence of infertility ranges from 3.9% to 16.8% in India. 1 As per the estimates from Indian census data 2001, 1991 and 1981, researchers showed that childlessness in India has risen up. In 1981, approximately 13 percent of ever-married women of reproductive age were childless, which increased to nearly 16 percent in 2001.…”

Section: Introductionmentioning

confidence: 99%

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Role of diagnostic hysterolaparoscopy in the evaluation of female infertility

et al. 2019

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Background: Infertility is defined by WHO as a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. The prevalence of infertility is about 10%-15% of reproductive age couples. Female factor is responsible for 40-45% of etiology of infertility. Aim of the study was to evaluate the role of diagnostic hysterolaparoscopy in female infertility at a tertiary care centre.Methods: This is a retrospective hospital based study done at a tertiary care hospital attached to JSS Medical College, Mysuru between January 2017 and December 2018. Infertile women with primary or secondary infertility in the 18-40 years age group, with normal hormonal profile and no known male factor were included.Results: In our study, primary infertility was found in 77% of the 96 patients and secondary infertility was found in 23% of patients. In primary infertility, ovarian pathology was the most common finding while Endometriosis was the most common finding in secondary infertility group. 77 % patients were found to have bilaterally patent tubes while remaining had unilateral or bilateral blockage. On hysteroscopy, endometrial polyps were the commonest hysteroscopic finding in both groups.Conclusions: Combined hystero-laparoscopy is a safe, effective and reliable method in comprehensive evaluation of infertility. It helps in the diagnosis of pelvic pathology which may have been missed by routine examination and thereby helps in optimal management of female infertility.

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Diagnostic hysterolaparoscopy for evaluation of infertility: Our experience in a tertiary Care Hospital

Cited by 15 publications

References 16 publications

Combined Diagnostic Approach of HSG and Diagnostic Hysterolaparoscopy in Evaluation of Female Infertility.

Combined Diagnostic Approach of HSG and Diagnostic Hysterolaparoscopy in Evaluation of Female Infertility.

Evaluation of female factors in infertility by diagnostic laparohysteroscopy in a tertiary health care centre

Role of diagnostic hysterolaparoscopy in the evaluation of female infertility

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