The Combination Use of Minilaparoscopy and Hysteroscopy in Infertile Patients

Objective To evaluate the advantages of combining minilaparoscopy and hysteroscopy in the diagnosis and treatments of infertile patients. Methods 53 primary infertile patients (primary infertility group) and 79 secondary infertile patients (secondary infertility group) were performed minilaparoscopy (using a 3-mm scope with 0° lens) and hysteroscopy. The pathology of pelvis and uterine cavity, the conditions of chromotubation underwent by catheterism with hysteroscopic guidance and the complications of both groups were observed. Results The pelvic adhesion, fallopian tubes pathology, endometriosis, PCOS, endometritis and endometrial polyp were the common causes of infertility. After operation, the rates of bilateral tubal patency, partial obstruction or unilateral tubal patency, and the total obstruction in primary infertility group was 35.8%, 47.2%, and 17.0% respectively. The rates in secondary infertility group was 35.4%, 41.8%, and 22.8% respectively. The rates of tubal patency of both groups increased after the procedure (P0.01). No complications occurred. Conclusions Combining minilaparoscopy and hysteroscopy can increase the diagnostic and therapeutic rates for the infertile patients with less trauma.