Title: Role of Hysterolaparoscopy in the Management of Infertility

Authors: Prof. (Dr) Rabindra Nath Behera, Dr Sini Venugopal, Dr Pruthiraj Behera

 DOI: https://dx.doi.org/10.18535/jmscr/v9i7.13

Abstract

 

Objective: This is a Prospective analytical study carried out in department of Obstetrics and Gynecology, Hi-Tech Medical College & Hospital, Bhubaneswar, a tertiary care centre, to find out the role of combined laparoscopy and simultaneous hysteroscopy in the management of infertility.

Materials and Method: A total of 70 women who reported with complaint of infertility were chosen for study. The women were evaluated for female factor by laparoscopy and simultaneous hysteroscopy. Tubal patency study was also done. The study was conducted over a two year period i.e .from November 2018 to October 2020 at Hi-Tech Medical College & Hospital, Bhubaneswar.

Results: Age of the women ranged from 21 to 40 years and the mean age was 27.97 years. In hysteroscopy, endometrial polyp, cervical stenosis, submucous fibroid, ostial block and septate uterus was identified. In laparoscopy, various pathologies like polycystic ovarian disease, endometriosis, bilateral and unilateral tubal block, pelvic adhesions, myomas and uterine anomalies were detected.

Conclusion: In investigating the causes of female infertility, a combined laparoscopy with simultaneous hysteroscopy provides the best approach to diagnose the pathologies.

Keywords:  Laparoscopy, Hysteroscopy, Infertility.

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