ANALYSIS OF LAPAROSCOPIES IN THE MANAGEMENT OF THE INFERTILE COUPLE

Background. Hysterosalpingography (HSG) and diagnostic laparoscopy with chromopertubation are two widely used diagnosic methods to determine tubal function in infertile women.The diagnostic value of HSG and laparoscopy is still a matter for much debate. In the retrospective analyses we wanted to evaluate the HSG and laparoscopy as diagnostic and therapeutic procedure in the infertile patients. Materials and methods. Three hundreds and sixty two patients treated at University Department of Obstetry and Gynecology in Ljubljana because of infertility were analysed in the year 2000 and 2001. Laparoscopy was done in all 362 patients and HSG before the laparoscopy was done in 185 patients. Results. The laparoscopy was done in 215 patients because of primary sterility and in 147 patients because of secondary sterility. The patology was found in 79% of the patients (myomas in 8%, polycystic ovaries (PCO) in 19%, endometriosis in 27%, tubo-ovarian adhesions in 46%).Considering the tubal factor of infertility sensitivity of HSG was 68%, specificity 52%, PPV 55% and NPV 64%. Conclusions. Considering the results we found the laparoscopy as diagnostic and therapeutic method in infertile patients very useful and important and HSG as a method of limited value.