A prospective study to evaluate the role of laparohysteroscopy in unexplained infertility

Firmal P, P. Firmal, R Yadav, Yadav R, Ruby Yadav, S Agrawal, Swati Agrawal, Agrawal S
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2014 · vol. 35(4) , pp. 386–388 · doi:10.3109/01443615.2014.960821 · PMID:25325846 · W2107274687
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This study found that laparoscopy detected pelvic abnormalities in 36.7% of women with unexplained infertility and was therapeutic in 30% of cases, suggesting its benefit after failed empirical treatment.

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Abstract

Laparoscopy is considered as the preferred modality for the diagnosis of pelvic pathology but its timing and use in the investigation of infertility is an area of debate. A prospective observational study was conducted between 1 November, 2009 and 31 March, 2011, in which 30 women with unexplained infertility with at least three failed cycles of COH and IUI were included and subjected to laparohysteroscopy. On laparoscopy, pelvic abnormalities were found in 11 (36.7%) women. On hysteroscopy, intrauterine lesions were detected in two (6.7%) of the women. The commonest pelvic pathology detected was adhesions followed by minimal to mild endometriosis. Operative procedures were done in nine (30%) cases. Since laparoscopy was not only diagnostic but also therapeutic in a significant number of cases, it was concluded that laparoscopy is beneficial following failure of empirical treatment in women with unexplained infertility while the routine use of hysteroscopy requires further assessment.

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Condition tags

endometriosisinfertility

MeSH descriptors

Hysteroscopy Infertility, Female Infertility, Female Infertility, Female Infertility, Female Laparoscopy Pelvis Adult Comparative Effectiveness Research Endometriosis Endometriosis Endometriosis Endometriosis Female Humans Hysteroscopy India Laparoscopy Outcome Assessment, Health Care Prospective Studies

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References (19)

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