Is hysterolaparoscopy a real theranostic approach for anatomical barriers in female fertility? A future argument

Namita Agrawal, Poonam Yadav, S. Fayyaz, Brinderjeet Kaur
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2018 · vol. 7(6) , pp. 2423 · doi:10.18203/2320-1770.ijrcog20182362 · W2803894275
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

Hysterolaparoscopy diagnosed abnormalities in 85% of infertile patients, with therapeutic interventions performed in 96.8% of those diagnosed.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper prospectively evaluated 157 infertile women (mean age 27.7 years) undergoing hysterolaparoscopy during the infertility diagnostic work-up, with anatomical abnormalities identified in real time addressed with active interventions when feasible. Hysterolaparoscopy detected abnormalities in 125/157 (~85.0%) participants, with similar proportions in primary (77/93) and secondary (48/64) infertility groups, and 121/125 (~96.8%) of those with abnormal findings receiving active therapeutic interventions. The authors note that only four patients—described as having streak ovaries, hypoplastic uterus, few tiny fibroids, and adenomyosis—did not undergo active hysterolaparoscopic intervention. Relevance to endometriosis: the study explicitly mentions adenomyosis as one of the conditions present in the small subgroup that did not receive active intervention during hysterolaparoscopy, though the paper’s main focus is evaluating hysterolaparoscopy as a theranostic approach for anatomical barriers in female fertility.

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Abstract

Background: Hysterolaparoscopy is a modality that provides the real time abdomino-pelvic view during diagnosis in infertile female patients and any pathology is noticed can be tackled at the same time. So we investigate the theranostic application of hysterolaparoscopy in structural causes of female infertility in present study.Methods: Authors prospectively evaluate 157 female patients (mean age 27.7 years) diagnosed as infertile, underwent hysterolaparoscopy during diagnostic work-up. All the enlisted patients fulfilled the criteria of infertility. The noticed anatomical abnormalities in the hysterolaparoscopy were tackled at the same time if possible.Results: Of the 157 infertile female patients, 93 (~59.2%) were of primary infertility and remaining 64 (~41.8%) were secondary infertility patients. Hysterolaparoscopy showed abnormalities in 125/157 (~85.0%) patients. The detected hysterolaparoscopic abnormalities were distributed in 77/93 (~82.8%) primary and 48/64 (~75.0%) secondary infertility patients. Of the 125 patients with abnormal hysterolaparoscopic findings, 121 (~96.8%) experienced for active therapeutic interventions. All of the 48 secondary infertility patients with hysterolaparoscopic abnormalities experienced for active hysterolaparoscopic interventions. Of 77 patients with hysterolaparoscopic abnormality in primary infertility group, 73 (~94.8%) experienced active intervention. Only four patients with streak ovaries and hypoplastic uterus, few tiny fibroids and adenomyosis did not undergo for active hysterolaparoscopic intervention.Conclusions: Authors concluded that hysterolaparoscopy has a better theranostic approach for the anatomical barriers of female fertility so it can be performed in the initial phases of the infertility diagnostic work-up.
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Background

Hysterolaparoscopy is a modality that provides the real time abdomino-pelvic view during diagnosis in infertile female patients and any pathology is noticed can be tackled at the same time. So we investigate the theranostic application of hysterolaparoscopy in structural causes of female infertility in present study.

Methods

Authors prospectively evaluate 157 female patients (mean age 27.7 years) diagnosed as infertile, underwent hysterolaparoscopy during diagnostic work-up. All the enlisted patients fulfilled the criteria of infertility. The noticed anatomical abnormalities in the hysterolaparoscopy were tackled at the same time if possible.

Results

Of the 157 infertile female patients, 93 (~59.2%) were of primary infertility and remaining 64 (~41.8%) were secondary infertility patients. Hysterolaparoscopy showed abnormalities in 125/157 (~85.0%) patients. The detected hysterolaparoscopic abnormalities were distributed in 77/93 (~82.8%) primary and 48/64 (~75.0%) secondary infertility patients. Of the 125 patients with abnormal hysterolaparoscopic findings, 121 (~96.8%) experienced for active therapeutic interventions. All of the 48 secondary infertility patients with hysterolaparoscopic abnormalities experienced for active hysterolaparoscopic interventions. Of 77 patients with hysterolaparoscopic abnormality in primary infertility group, 73 (~94.8%) experienced active intervention. Only four patients with streak ovaries and hypoplastic uterus, few tiny fibroids and adenomyosis did not undergo for active hysterolaparoscopic intervention.

Conclusions

Authors concluded that hysterolaparoscopy has a better theranostic approach for the anatomical barriers of female fertility so it can be performed in the initial phases of the infertility diagnostic work-up. Metrics

References

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