Application of combined hysteroscopy and laparoscopy in diagnosis and treatment of infertilitas female

Objective To evaluate the value of combined hysteroscopy and laparoscopy in diagnosis and management of female infertility.Methods Fifty-five cases of female infertility were treated by combined hysteroscopy and laparoscopy and pregnancy rate was observed in 4-year follow-up.Results Salpingo factor was the common cause for female infertility,especially for secondary infertility.There were 47.2%(26/55) cases resulted from salpingo-related factors which were significantly different from other etiological factors(P0.05).Endometriosis was another major cause for female infertility,but no significant difference was found between primary and secondary fertility(P0.05).The total rate of pregnancy was 54.5%(30/55) in 55 patients in 4-year follow-up.Conclusion Combined hysteroscopy and laparoscopy can help identify the etiological factors of female fertility and proper surgical intervention can be performed at the same time may har rest a promising results as those in this report.