Study of correlation of clinical and laparohysteroscopic diagnosis among infertile patients
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20260172Keywords:
Primary and secondary infertility, Laparohysteroscopy, Clinical diagnosisAbstract
Background: To find the prevalence of infertile patients during the study duration of 24 months. To study the indications and findings of diagnostic hysteroscopy and laparoscopy and to correlate the laparo-hysteroscopy findings with the clinical diagnosis of the patients.
Methods: Hospital based observational cross-sectional type of study for a duration of 24 months. 80 infertility patients in between the age of 18-40 years who underwent laparo-hysteroscopy were selected. Descriptive statistical analysis was carried out in the present study. Data analysis done by using SPSS (Statistical Package for social sciences) version 25:0. Using KAPPA statistics significance was assessed as 5% level of significance.
Results: Pre valance of infertile patients during the study duration was 6.06%. Majority of patients (34) 42.5% were in age group 26-30 years. 80% of patients had primary and 20% had secondary infertility. 43 patients i.e. 53.75% of study patients had some abnormal findings which were diagnosed with the help of laparoscope. Maximum patients had pelvic pathology (endometriosis) as an abnormality constituting 20% of the study group followed by 15% of tubal pathology.
29 patients i.e. 36% of study patients had some abnormal findings which were diagnosed with the help of hysteroscope. 11 (13.75%) patients had synechiae followed by 10 patients i.e. 12.5% had intrauterine septum on hysteroscopy.
Conclusions: Laparo-hysteroscopy has proved to be an effective, safe and minimally invasive tool in evaluation and treatment of infertile patients.
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References
Ganguly S, Unisa S. Trends of Infertility and Childlessness in India: Findings from NFHS Data. Facts Views Obgyn. 2010;2(2):131–8.
Sciarra J. Infertility: an international health problem. Int J Gynaecol Obstet. 1994;46:155–63. DOI: https://doi.org/10.1016/0020-7292(94)90230-5
Looking back, looking forward: a profile of sexual and reproductive health in India. New Delhi: Population Council; 2004. Population Council. Infertility. 2004: 67–72.
Reproductive health indicators for global monitoring: Report of the second interagency meeting, 2001. Geneva: World Health Organization; 2001. World Health Organization. 2001.
Saxena P, Nigam A. Comparison of Hysterosalpingography and Combined Laparohysteroscopy for the Evaluation of Primary Infertility. 2015;13:52-4.
Sharma N, Singh A, Radhakrishnan G, Aggarwal R, Radhika AG. A Retrospective Analysis of Laparohysteroscopy Findings of Unexplained Infertility Patients in Tertiary Care Hospital. Int J Sci Stud. 2017;5(1):27-9.
Korula George and Mohan S Kamath Fertility and age J Hum Reprod Sci. 2010;3(3):121–3. DOI: https://doi.org/10.4103/0974-1208.74152
Harlass FE, Plymate SR, Fariss BL, Belts RP. Weight loss is associated with correction of gonadotropin and sex steroid abnormalities in the obese anovulatory female. Fertil Steril. 1984;42:649–52. DOI: https://doi.org/10.1016/S0015-0282(16)48154-9
Kiddy DS, Sharp PS, White DM. Differences in clinical and endocrine features between obese and non-obese subjects with polycystic ovary syndrome: an analysis of 263 consecutive patients. Clin Endocrinol. 1990;32:213–20. DOI: https://doi.org/10.1111/j.1365-2265.1990.tb00857.x
Pasquali R, Antenucci D, Casimirri F. Clinical and hormonal characteristics of obese amenorrheic hyperandrogenic women before and after weight loss. J Clin Endocrinol Metab. 1989;68:173–9. DOI: https://doi.org/10.1210/jcem-68-1-173
Erhong Zhang,1 Yanan Zhang. Combined Hysterolaparoscopy for the Diagnosis of Female Infertility: a Retrospective Study of 132 Patients in ChinaMater Sociomed. 2014;26(3):156–7. DOI: https://doi.org/10.5455/msm.2014.26.156-157
khanna A, Agrawal A. Markers of genital tuberculosis in infertility. Singapore Med J. 2011;52:864-7.
Singh R, Singh S, Yadav P, Goyal M. Role of diagnostic laparohysteroscopic in the management of infertile females. J Evol Med Dental Sci. 2013;2(1):1792. DOI: https://doi.org/10.14260/jemds/463
Nezhat C, Santolaya J, Nezhat FR. Comparison of transvaginal sonography and bimanual pelvic examination in patients with laparoscopically confirmed endometriosis. J Am Assoc Gynecol Laparosc. 1994;1(2):127–30. DOI: https://doi.org/10.1016/S1074-3804(05)80775-3
Aleem M, Bashir A. Endometriosis in diagnostic laparoscopy Specialist. 1995;11:103.
Maheshwari A, Hamilton M, Bhattacharya S. Effect of female age on the diagnostic categories of infertility. Hum Reprod. 2008;23:538–42. DOI: https://doi.org/10.1093/humrep/dem431
Gelbaya TA, Potdar N. Definition and epidemiology of unexplained infertility. Obstet Gynecol Surv. 2014;69(2):109-15. DOI: https://doi.org/10.1097/OGX.0000000000000043
Mehta AV. Role of diagnostic hysterolaparoscopy in the evaluation of infertility Int J Reprod Contracept Obstet Gynecol. 2016;5(2):437-40. DOI: https://doi.org/10.18203/2320-1770.ijrcog20160385
Nayak PK, Mahapatra PC, Mallick JJ, Swain S, Mitra S, Sahoo J. Role of diagnostic hysterolaparoscopy in the role of infertility A retrospective study of 300 patients, J Hum Reprod Sci. 2013;6(1):32-4. DOI: https://doi.org/10.4103/0974-1208.112378
Begum J, Samal S, Ghose S, Pallavee P, Samal R. Combined hysterolaparoscopy as an early option for initial evaluation of female infertility: a retrospective study of 135 patients. Int J Reprod Contracept Obstet Gynecol. 2015;4:584-8. DOI: https://doi.org/10.18203/2320-1770.ijrcog20150056
Kabadi YM. Hysterolaparoscopy in the Evaluation and Management of Female Infertility J Obstet Gynaecol India. 2016;66(1):478–81. DOI: https://doi.org/10.1007/s13224-016-0863-5
Homer HA, Li TC, Cooke ID. The septate uterus: A review of management and reproductive outcome. Fertil Steril. 2000;73:1-14. DOI: https://doi.org/10.1016/S0015-0282(99)00480-X
Brown SE, Coddington CC, Schnorr J, Toner JP, Gibbons W, Oehninger S. Evaluation of outpatient hysteroscopy, saline infusion hysterosonography and hysterosalpingography in infertile women: A prospective, randomized study. Fertil Steril. 2000;74:1029–34. DOI: https://doi.org/10.1016/S0015-0282(00)01541-7