Role of diagnostic hystero-laparoscopy in the evaluation of female infertility

Deepa Shanmugham, Nambala Divya Sahitya, Sindhu Natarajan, Deepak Kannan Saravanany
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2019 · vol. 8(8) , pp. 3156 · doi:10.18203/2320-1770.ijrcog20193528 · W2966843909
article OA: diamond CC0 ⤵ 1 in-corpus citation
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study investigated diagnostic hystero-laparoscopy's role in evaluating female infertility, finding it identified polycystic ovaries in 31.1%, tubal blocks in 11.11%, and other abnormalities in a significant proportion of patients.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This prospective study evaluated the role of diagnostic hystero-laparoscopy (DHL) in the workup of female infertility, enrolling 90 infertile couples at a tertiary care centre and performing DHL in the pre-ovulatory phase under general anaesthesia, with male-factor infertility and certain endocrine or acute infectious conditions excluded. Laparoscopy identified polycystic ovaries in 31.1% of patients, pelvic adhesions in 4.4%, endometriosis in 2.2%, and tubal block in 11.11%, while hysteroscopy showed abnormal uterine findings in 10 patients. The paper concludes that hystero-laparoscopy is an effective diagnostic tool for infertility evaluation, while its key limitation is the small sample size and relatively low frequency of endometriosis observed. This paper is centrally about endometriosis — it reports the frequency of endometriosis detected by diagnostic hystero-laparoscopy within an infertility evaluation cohort.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Background: Infertility affects about 10-15% of reproductive age couples. The main causes of infertility include male factor, ovulatory disorders, tubal factor and endometriosis. This study was conducted to determine the role of Diagnostic hystero-laparoscopy (DHL) in the evaluation of female infertility.Methods: This study was a prospective study done in a tertiary care centre over a period of 1 year on all infertile couples. The exclusion criteria: male factor infertility, hypothyroidism, hyperprolactinemia, acute pelvic inflammatory disease. Diagnostic hysterolaparoscopy was performed in all study patients in pre ovulatory phase, under general anaesthesia. The findings were then documented and analysed.Results: A total number of 90 patients were recruited for the study. The mean age of the patients was 28±3 years. The mean BMI of the study patients was 25±4 kg/m2. The mean duration of infertility was 5.4 years. On laparoscopy, 28 patients had polycystic ovaries (31.1%), 4 patients had pelvic adhesions (4.4%), 2 patients had endometriosis (2.2%) and tubal block was identified in 10 patients (11.11%). 10 patients had abnormal findings on hysteroscopy.Conclusions: Hystero laparoscopy is an effective diagnostic tool in the evaluation of infertility and has to be included in basic diagnostic workup.
Full text 5,239 characters · extracted from oa-doi-fallback · 5 sections · click to expand

Background

Infertility affects about 10-15% of reproductive age couples. The main causes of infertility include male factor, ovulatory disorders, tubal factor and endometriosis. This study was conducted to determine the role of Diagnostic hystero-laparoscopy (DHL) in the evaluation of female infertility.

Methods

This study was a prospective study done in a tertiary care centre over a period of 1 year on all infertile couples. The exclusion criteria: male factor infertility, hypothyroidism, hyperprolactinemia, acute pelvic inflammatory disease. Diagnostic hysterolaparoscopy was performed in all study patients in pre ovulatory phase, under general anaesthesia. The findings were then documented and analysed.

Results

A total number of 90 patients were recruited for the study. The mean age of the patients was 28±3 years. The mean BMI of the study patients was 25±4 kg/m2. The mean duration of infertility was 5.4 years. On laparoscopy, 28 patients had polycystic ovaries (31.1%), 4 patients had pelvic adhesions (4.4%), 2 patients had endometriosis (2.2%) and tubal block was identified in 10 patients (11.11%). 10 patients had abnormal findings on hysteroscopy.

Conclusions

Hystero laparoscopy is an effective diagnostic tool in the evaluation of infertility and has to be included in basic diagnostic workup. Metrics

References

Boivin J, Bunting L, Collins JA, Nygren KG. International estimates of infertility prevalence and treatment-seeking: Potential need and demand for infertility medical care. Hum Reprod. 2007;22:1506-12. Infecundity, infertility, and childlessness in developing countries. DHS Comparative Reports No. 9. Calverton, Maryland, USA: ORC Macro and the World Health Organization; 2004. Berek JS. Berek and Novak's Gynaecology. 15th Ed. Lippincott William's and Wilkins; 2012. Birmingham Al. Investigation of the infertile couple. Am Fertil Soc.1992. Shanmugham D, Vidhyalakshmi RK, Varghese J. Evaluation of tubal patency in infertile patients with saline infusion sonosalpingogram. Int J Reprod Contracept Obstet Gynecol. 2018;7:7:2590-5. Borght MV, Wyns C. Fertility and infertility: Definition and epidemiology. Clin Biochem. 2018;62:2-10. Laurence AM, Michael RS. Infertility evaluation and treatment. In: Imaging of the Reproductive Tract in Infertile Women: Hysterosalpingography, Ultrasonography and Magnetic Resonance Imaging, Chapter 23. WB Saunders Company; 1995:300-3. Balasch J. Investigation of the infertile couple: investigation of the infertile couple in the era of assisted reproductive technology: a time for reappraisal. Hum Reprod. 2000;15(11):2251-7. Modi AP, Raval BM, Munshi SP, Patel SB, Dedharotiya SM, et al. Role of diagnostic hysterolaparoscopy in the evaluation of infertility. Int J Reprod Contracept Obstet Gynecol. 2016;5(2):437-40. 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. Chanu SM, Rudra Pal GS, Panda S, Singh AS. Diagnostic hysterolaparoscopy for evaluation of infertility: Our experience in a tertiary Care Hospital. J Hum Reprod Sci. 2018;11:19-23. Ashok Kumar K, Priyanka Jogi Y, Bharathi A. Diagnostic laparoscopy in the evaluation of female factor infertility. Int J Reprod Contracept Obstet Gynecol. 2017;6:383-7. Mehmood S. An audit of diagnostic laparoscopies for infertility. J Surg Pak. 2003;8:8-10. Goel G, Khatuja R, Radhakrishnan G, Agarwal R, Agarwal S, Kaur I. Role of newer methods of diagnosing genital tuberculosis in infertile women. Indian J Pathol Microbiol. 2013;56:155-7. Mettler L, Schollmeyer T, Lewin A. Accuracy of laparoscopic diagnosis of endometriosis. J Society Laparoend Diag Endometrio. 2003;7(3):290. Martin DC, Hubert GD, Vender Zwang R. Laparoscopic appearance of peritoneal endometriosis. Fertility Steril. 1989;51:63-7. Shanmugham D, Vidhyalakshmi RK, Shivamurthy HM. The effect of baseline serum luteinizing hormone levels on follicular development, ovulation, conception and pregnancy outcome in infertile patients with polycystic ovarian syndrome. Int J Reprod Contracept Obstet Gynecol. 2017;7(1):318- 22. Boricha YG, Sharma RK, Boricha BG, Mhapankar S, Chaterjee A, Narshetty J. Laparoscopy in 50 infertile couples: prospective study. Int J Med Clin Res. 2011;2:63-6. Jain G, Khatuja R, Juneja A, Mehta S. Laparoscopy: as a first line diagnostic tool for infertility evaluation. J Clin Diagnost Res. 2014;8(10):OC01-OC02. Nayak PK, Mahapatra PC, Mallick J, Swain S, Mitra S, Sahoo J. Role of diagnostic hystero-laparoscopy in the evaluation of infertility: a retrospective study of 300 patients. J Hum Reprod Sci. 2013;6:32-4. Kabadi YM, Harsha B. Hysterolaparoscopy in the Evaluation and Management of Female Infertility. J Obstet Gynaecol India. 2016;66(Suppl 1):478-81. Merviel P, Mergui JL, Sanames S, Antone JM, Salot-Baroux, Uzan S. Role of hysteroscopy in diagnosis and treatment of infertility. Europe PHC. 2000;29(23):1302-10.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisinfertility

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (21)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK