Hysterolaparoscopy in the evaluation and management of female infertility

Ramalingappa C. Antaratani, Brian C. Harsha
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2017 · vol. 6(10) , pp. 4454 · doi:10.18203/2320-1770.ijrcog20174423 · W2756883329
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Hysterolaparoscopy in 677 infertile women diagnosed pelvic pathology in 59.5% and intrauterine pathology in 22.3%, identifying polycystic ovaries, adhesions, and uterine anomalies as common findings.

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This retrospective study evaluated 677 case files of women with infertility who underwent diagnostic hysterolaparoscopy (hysteroscopy plus laparoscopy with dye studies) between 2011 and 2016 at two Indian hospitals, after confirmation of normal ovulatory cycles, hormonal assays, and a seminogram report. Pelvic and intrauterine findings were categorized, with inspection for abnormal pathology and therapeutic interventions performed during the procedure, and the study reported that pelvic pathology was detected in 59.5% and intrauterine pathology in 22.3%. The most common laparoscopic finding was polycystic ovaries (27.1%), followed by pelvic adhesions (18.7%), while pelvic endometriosis was found in 8.7%; uterine anomalies were identified in 7.9% on hysteroscopy, with septate uterus being the most common. The paper’s main limitation is its retrospective design without a comparator imaging strategy, so it primarily describes detection rates rather than effectiveness versus other diagnostic tests. Relevance to endometriosis: pelvic endometriosis was detected by hysterolaparoscopy in 8.7% of women in this infertility workup, though the paper’s overall focus is evaluating the diagnostic/therapeutic role of hysterolaparoscopy broadly.

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Abstract

Background: To study the role of hysterolaparoscopy in the evaluation and management of female infertility.Methods: A retrospective study of the 677 case files of all the patients who underwent diagnostic hysterolaparoscopy for infertility between January 2011 to December 2016 at Karnataka Institute of Medical Sciences, Hubli and Sushruta Multispeciality hospital, Hubli. These infertile women were confirmed to have normal ovulatory cycles, hormonal assays and seminogram report. Dye studies as well as inspection for abnormal pelvic and intrauterine pathology and necessary therapeutic interven-tions were done during the procedure. Abnormal pelvic and intrauterine pathology by hysterolaparoscopy were categorized.Results: Out of 677 cases, 74% patients had primary, 26% patients had secondary infertility. As a whole pelvic pathology was confirmed in 59.5% and intrauterine pathology in 22.3% patients by hysteroscopy. The most common laparoscopic abnormality detected was Polycystic ovaries (27.1%), followed by pelvic adhesions (18.7%). Tubal block comprised 8.1% whereas distorted uterus by fibroid in 6.2% and pelvic endometriosis in 8.7%. In hysteroscopy, the incidence of uterine anomaly was 54 (7.9%). Septate uterus is the most common with a mean incidence of approximately 37 (67.8%).Conclusions: Diagnostic hysterolaparoscopy is an effective diagnostic and therapeutic modality for certain significant and correctable abnormalities in pelvis, tubes and uterus which are missed by other imaging modalities.
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Background

To study the role of hysterolaparoscopy in the evaluation and management of female infertility.

Methods

A retrospective study of the 677 case files of all the patients who underwent diagnostic hysterolaparoscopy for infertility between January 2011 to December 2016 at Karnataka Institute of Medical Sciences, Hubli and Sushruta Multispeciality hospital, Hubli. These infertile women were confirmed to have normal ovulatory cycles, hormonal assays and seminogram report. Dye studies as well as inspection for abnormal pelvic and intrauterine pathology and necessary therapeutic interven-tions were done during the procedure. Abnormal pelvic and intrauterine pathology by hysterolaparoscopy were categorized.

Results

Out of 677 cases, 74% patients had primary, 26% patients had secondary infertility. As a whole pelvic pathology was confirmed in 59.5% and intrauterine pathology in 22.3% patients by hysteroscopy. The most common laparoscopic abnormality detected was Polycystic ovaries (27.1%), followed by pelvic adhesions (18.7%). Tubal block comprised 8.1% whereas distorted uterus by fibroid in 6.2% and pelvic endometriosis in 8.7%. In hysteroscopy, the incidence of uterine anomaly was 54 (7.9%). Septate uterus is the most common with a mean incidence of approximately 37 (67.8%).

Conclusions

Diagnostic hysterolaparoscopy is an effective diagnostic and therapeutic modality for certain significant and correctable abnormalities in pelvis, tubes and uterus which are missed by other imaging modalities. Metrics

References

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