Role of hysterolaparoscopy in evaluation and management of infertility

Urmila Karya; Neha Singh; Komal Rastogi

doi:10.18203/2320-1770.ijrcog20213461

Role of hysterolaparoscopy in evaluation and management of infertility

Urmila Karya, Neha Singh, Komal Rastogi

In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2021 · vol. 10(9) , pp. 3413 · doi:10.18203/2320-1770.ijrcog20213461 · W3196677407

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Hysterolaparoscopy was performed on 58 infertile women, revealing common pathologies like tubal issues, endometriosis, polyps, and synechiae, allowing for simultaneous surgical intervention.

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Abstract

Background: This study was conducted to evaluate the role of hysteron-laparoscopy in evaluation and management of infertility.Methods: Prospective observational study was conducted in department of obstetrics and gynaecology, LLRM medical college, SVBP hospital Meerut from May 2019 to June 2020. It included 58 women aged 22-40 years with primary and secondary infertility with normal hormone profile without male factor infertility.Results: Out of total 58 cases for infertility evaluated, primary infertility were 42 (72.41%) and secondary infertility were 67 (27.59%). In hysteroscopy deep seated ostium (12.06%), followed by endometrial polyp (6.89%) ,intrauterine synechiae (6.89%) were the most common pathologies while common abnormalities in laparoscopy were tubal pathology (20.68%), endometriosis (15.51%), and PCOD (12.06%) .Some of the diagnosed pathologies were dealt surgically in same sitting.Conclusions: Hystero-laparoscopy is a feasible and acceptable procedure and it can be used as “one time approach” in the assessment of female infertility caused due to pelvic and uterine pathology. It helps in diagnosis of certain factors causing infertility, which cannot be diagnosed by any other method such as by USG, HSG and reveals whether surgery is possible and if so the nature of surgery most suited for patient which can be performed in the same sitting.

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Background

This study was conducted to evaluate the role of hysteron-laparoscopy in evaluation and management of infertility.

Methods

Prospective observational study was conducted in department of obstetrics and gynaecology, LLRM medical college, SVBP hospital Meerut from May 2019 to June 2020. It included 58 women aged 22-40 years with primary and secondary infertility with normal hormone profile without male factor infertility.

Results

Out of total 58 cases for infertility evaluated, primary infertility were 42 (72.41%) and secondary infertility were 67 (27.59%). In hysteroscopy deep seated ostium (12.06%), followed by endometrial polyp (6.89%) ,intrauterine synechiae (6.89%) were the most common pathologies while common abnormalities in laparoscopy were tubal pathology (20.68%), endometriosis (15.51%), and PCOD (12.06%) .Some of the diagnosed pathologies were dealt surgically in same sitting.

Conclusions

Hystero-laparoscopy is a feasible and acceptable procedure and it can be used as “one time approach” in the assessment of female infertility caused due to pelvic and uterine pathology. It helps in diagnosis of certain factors causing infertility, which cannot be diagnosed by any other method such as by USG, HSG and reveals whether surgery is possible and if so the nature of surgery most suited for patient which can be performed in the same sitting. Metrics

References

Chanu SM, Rudra Pal GS, Panda S, Santa Singh AS. Diagnostic hysterolaparoscopy for evaluation of infertility: tertiary care hospital. J Hum Reprod Sci. 2018;11:19-23 Challenges in reproductive health research: biennial report. Available at: https://apps.who.int/iris/handle/ 10665/39653. Accessed on 20 December 2020. Unisa S. Infertility and treatment seeking in India: Findings from district level household survey. Available at: https://fvvo.eu/assets/133/19-unisa.pdf. Accessed on 20 December 2020. Jahan S. Role of laparoscopy in infertility: review article. Birdem Med J. 2012;2:99-103. Howkins J, Bourine GL. The pathology of conception. In: Howkins J, Bourine GL, eds. Shaw’s text book of gynaecology. 13th ed. New York: Elsevier; 2004. Madhuri N, Rashmi HS, Sujatha MS, Dhanyata G. Role of diagnostic hysterolaparoscopy in the evaluation of female infertility. Int J Contem Med Res. 2010;52:45-9. Cunanan RG, Courey NG, Lippes J. Laparoscopic findings in patients with pelvic pain. Am J Obstet Gynecol. 1983;146(5):589-91. Corfman RS. Indications for hysteroscopy. Obstet Gynecol Clin North Am. 1988;15(1):41-9. Nayak PK, Mahapatra PC, Mallick J, Swain S, Mitra S, Sahoo J. Role of diagnostic hysterolaparoscopy in the evaluation of infertility: A retrospective study of 300patients. J Hum Reprod Sci. 2013;6(1):32-4. Nanaware SS, Saswade M, Shende PN, Gaikwad P, Mahana S, Kirane A. Role of hysterolaparoscopy in the evaluation of female infertility in tertiary care centre. Int J Contem Med Res. 2016;3(10):3063-5. Kabadi YM, Harsha B. Hysterolaparoscopy in the Evaluation and Management of Female Infertility. Am J Obstet Gynecol. 200;52:20:98-105. Agrawal SP, Kedia N, Jani SK. Role of hysterolaparoscopy in the diagnosis and management of infertility. Obstet Gynecol Clin North Am. 2005; 42:25-9.

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