Laparoscopy combined with hysteroscopy applied to evaluate the infertile women after intrauterine insemination failure

[Objective] To evaluate the usage combining laparoscopy and hysteroscopy in the patients after intrauterine insemination failure. [Method] From Jan 1994 to Apr 2004, 21 patients who failed to conceive after intrauterine insemination were investigated and treated by laparoscopy and hysteroscopy. All the patients were underwent the hysteroscopy and laparoscopy evaluation at the same time or successively. [Result] By the diagnostic laparoscopy, the pelvic abnormalities included pelvic inflammatory disease and endometriosis(57%). By the diagnostic hysteroscopy, the intrauterine abnormalities included endometritis, submucous myomas, polypus. The cumulative pregnancy rate was 47.6%. Among all the followed up patients, 90% of women became pregnent within 18 months after operation. [Conclusion] This study demonstrates that combination of laparoscopy and hysteroscopy was superior to laparoscopy alone and hysteroscopy alone in the treatment of patients after intrauterine insemination failure, which can improve the chance of pregnancy in IUI.