To study the role of hysteroscopy and laparoscopy in the evaluation of infertility

Mali, Kimaya A.; Mohanty, Swadhin

doi:10.18203/2320-1770.ijrcog20162978

Cited by 5 publications

(6 citation statements)

References 11 publications

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“…Normal HSG (64) Normal (1) Small Uterus (1) Normal (1) Filling Defect (1) Endo Polyp (5) Normal (5) Cervical Polyp (3) Normal (3) Adhesions (5) Normal (5) Ostium Fibrosis (2) Normal (2) Atrophic Endometrium (1) Normal (1) Hyperplastic Endometrium (1) Normal (1) Cervical Stenosis (1) Normal ( 1) Subseptate + Endometrial Polyp (1) Normal ( 1) Adhesions + Ostium Fibrosis (1) Normal (1) In our study, maximum number of patients (76.19%) belonged to 25-35 years of age. Similar observations were made by Amirian et al, 10 Mali et al,11 Sahu et al, 12 Wadhwa L et al 13 In this study 72 patients (68.57%) were nulliparous, 31(29.52%) were of parity one and parity ≥2 was found in 1.90% patients. Where as in Koskas et al 5 13 reported mean infertility period of 5.65 ± 2.54 years.…”

Section: Discussionsupporting

confidence: 89%

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Hysteroscopy is Gold standard in Uterine evaluation for Infertility, but HSG still has a place

et al. 2021

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Background: Uterine abnormalities, congenital or acquired are implicated as causal factor in 10%-15% of infertile couplesreporting for treatment. Hysteroscopy, hysterosalpingography (HSG), saline-infusion-sonography and USG are available for evaluation of uterine cavity. HSG helps in initial evaluation of a sub-fertile woman, but hysteroscopy is gold standardas itallows direct visualisation ofintrauterine pathology and treatment in same-setting, if required. Aims and Objective: To describe hysteroscopic findings of infertile patients and compare the observations with their respective HSG findings. Materials and Methods: It’s a prospective analysis of 105 women with infertility who attendedtertiary-care hospital during 18 monthsfulfilling pre-defined inclusion and exclusion criteria. All cases were evaluated with both HSG and hysteroscopy, observations were recorded and co-related with each other. Results: Among 105 cases, maximum (76.19%) were 25-35 years of age. The primary infertility accounted for 68.57% cases.Abnormal HSG findings observed in 19 cases (20%), most common being filling-defect.Hysteroscopy detected abnormalities in 39 cases (37.14%), commonest being endometrial polyp. Out of 39 cases of abnormal uterine cavity detected on hysteroscopy only 19 were picked-up by HSG, rest 20 cases failed to be identified. The strength of agreement between hysteroscopy and HSG calculated is moderate (Kappa=0.505). Conclusion: As HSG hadlow false positivity (03%), high positive-predictive-value (90.48%) and negative-predictive-value (76.19%) and high specificity (96.96%) it is still considered as a first-choice screening method of uterine cavity. However, high false-negative-value (51.28%)of HSG makes Hysteroscopy a better diagnostic test. HSG couldn’t differentiate endometrial polyp, adhesions and submucous fibroid, shown them as filling defect only.

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Section: Discussionsupporting

confidence: 89%

“…This was comparable to observation made by many studies. Sahu et al, 12 Mali et al, 11 Pansky et al, 1 Karayalcin et al,15 who reported normal uterine cavity in 62-77% of infertile women and abnormal uterine cavity in 22-38%.…”

Section: Discussionmentioning

confidence: 99%

Hysteroscopy is Gold standard in Uterine evaluation for Infertility, but HSG still has a place

et al. 2021

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“…Majority of the patients presented with primary infertility of less than or equal to 5 years of duration as the couples are very anxious to conceive after marriage. 5 In the present study out of 100 cases for infertility evaluated, primary infertility were 57 (57%) and secondary infertility were 43 (43%), which was in comparison with study group of Borchia YG et al, where primary infertility were 35 (70%) and secondary infertility were 15 (30%) out of 50 patients studied. 6 Raksha et al observed that in primary infertility following hysteroscopic findings were more common than in secondary infertility.…”

Section: Discussionsupporting

confidence: 59%

A prospective study on the role of Hysterolaparoscopy in the evaluation of infertility

Pandeeswari

Valecha

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Infertility affects about 10-15% of couples of reproductive age groups. The current evidence indicates a 9% prevalence of infertility with 56% of couples seeking medical care. Hysterolaparoscopy provides a comprehensive investigative procedure in which various factors causing female infertility can be assessed at one sitting.Methods: A total 100 infertile women between 20-40 years of age including primary and secondary infertility were evaluated. Patients would be investigated thoroughly for infertility and in preparation for anaesthesia. Tests include follicular study, Ultrasound pelvis. Hysterolaparoscopy was performed in the pre ovulatory period between days 6-10 of the cycle for infertility evaluation.Results: In the present study out of 100 cases for infertility evaluated, primary infertility were 57(57%) and secondary infertility were 43(43%). In our study out of 100 patients, Hysterolaparoscopy showed tuberculosis in 24 (24%) patients, remaining were endometriosis, polycystic ovarian syndrome, congestion, intra-pelvic adhesions, hydro-salpinx.Conclusions: It is concluded that while treating the causes of female infertility combined simultaneous diagnostic laparoscopy and hysteroscopy should be performed in all infertile patients as” seeing is believing” and if any pathologies found to be operable the gynaecologist can perform operative hystero-laparoscopy at that time, hence anticipating the pathologies after pre-operative work up is very important.

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“…This study specifically addresses situations where male infertility has been ruled out, focusing on exploring female factors as potential causes of infertility [1] . Acknowledging infertility as a profound life crisis and social stigma, gynecologists face challenges in comprehensive diagnosis [5] . Traditional diagnostic approaches, such as pelvic examination, may not always reveal underlying abnormalities, necessitating advanced diagnostic tools [6] .…”

Section: Introductionmentioning

confidence: 99%

“…The combined approach of Hysterolaparoscopy, often referred to as the "Third eye of the Gynecologist", proves to be a safe and reliable method for infertility evaluation, with the added advantage of simultaneous therapeutic interventions [1] . This study endeavors to conduct a thorough investigation into infertility using Hysterolaparoscopy, aiming to establish a diagnosis and subsequent treatment [5] . By bridging gaps in understanding the complexities of female infertility, our research aims to contribute valuable insights for both clinicians and individuals navigating the challenges of infertility [1] .…”

Section: Introductionmentioning

confidence: 99%

To study the role of diagnostic hysterolaparoscopy in the evaluation of infertility

Bansal,

Gilhotra,

Bhavani

et al. 2023

Int. J. Clin. Obstet. Gynaecol.

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Introduction: Infertility, affecting 10%-15% of global reproductive-age couples, stands as a complex challenge with profound societal ramifications. This study distinctively focuses on scenarios where male infertility is ruled out, emphasizing on exploration of potential female factors in the infertility. Methodology: The research was conducted from August 2019 to May 2020, which encompasses a cohort of 45 infertile patients undergoing Diagnostic Hysterolaparoscopy (DHL). Recognized as a gold standard tool amalgamating laparoscopy and hysteroscopy, DHL provides a comprehensive visualization, thus causing early diagnosis of the cause of infertility. The study methodically explores demographic intricacies, socioeconomic parameters, and infertility durations, maintaining a balance between primary and secondary infertility cases. Results:The investigation delves into common menstrual irregularities, ovarian factors, and discerns correlations, particularly with Anti-Mullerian Hormone (AMH). The study accentuates the pivotal role of DHL in unravelling the intricate etiology of infertility. DHL demonstrates a 95% detection rate of abnormalities, DHL emerges as a highly effective diagnostic tool. The research identifies a spectrum of causative factors, with a notable prevalence of ovarian pathologies. Post-DHL intervention, a substantial 28.9% conception rate is observed, coupled with tailored interventions significantly ameliorating patient outcomes. Conclusion: Diagnostic Hysterolaparoscopy stands out as a cost-effective and efficacious diagnostic modality, significantly increasing the fertility rate within six months post-procedure. This research advocates the application of DHL in both primary and secondary infertility cases, underscoring its pivotal role in the comprehensive and management of infertility.

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To study the role of hysteroscopy and laparoscopy in the evaluation of infertility

Cited by 5 publications

References 11 publications

Hysteroscopy is Gold standard in Uterine evaluation for Infertility, but HSG still has a place

Hysteroscopy is Gold standard in Uterine evaluation for Infertility, but HSG still has a place

A prospective study on the role of Hysterolaparoscopy in the evaluation of infertility

To study the role of diagnostic hysterolaparoscopy in the evaluation of infertility

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