Evaluation of causes of female infertility by hysteron-laparoscopy

Authors

  • L. Jhansi Rani Department of Obstetrics and Gynaecology, NRIIMS, Visakhapatnam, Andhra Pradesh, India
  • Akankhya Panda Department of Obstetrics and Gynaecology, NRIIMS, Visakhapatnam, Andhra Pradesh, India
  • C. Haripriya Department of Obstetrics and Gynaecology, NRIIMS, Visakhapatnam, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241430

Keywords:

Infertility, Laparoscopy, Blockage, Patency, Adhesions

Abstract

ABSTRACT

Background: Infertility is rising in recent times affecting about 60-80 million couples worldwide. Female infertility can occur due to variety of causes, ranging from hormonal imbalance to congenital anomalies or infections or other pathologies involving uterus, fallopian tubes, ovaries, external genitalia or even error of coitus. Hystero laparoscopy with chromo perturbation is the gold standard diagnostic method in evaluation of tubal factors, uterine and peritoneal disorders. Aims and objectives were to evaluate the different causes of primary and secondary infertility in women of reproductive age using hysteron laparoscopy with chromo perturbation.

Methods: It is a prospective observational study done on 50 infertile women. Study population is divided into two groups- primary infertility and secondary infertility. Only those infertile ladies whose husbands showed normal semen analysis are included in the study. A detailed clinical history, marital, obstetric history, coital history, addiction history of the patients is taken. Thorough gynaecological examination is done and all necessary investigations is done. All infertile women and women willing to participate are included in the study. Women with male factor infertility and active genital infections are excluded.

Results: Out of 50 infertile women, 36 have primary infertility and 14 have secondary infertility. Of them 24 (48%) have normal findings. Ten (20%) women have unilateral tubal blockage, 4 (8%) women had bilateral tubal blockage, 8 (16%) women have adhesions between ovaries, tubes, uterus and surrounding structures and 4 (8%) women have polycystic ovaries.

Conclusions: Hystero laparoscopy proved to be an important tool in diagnosing the different causes of female infertility.

References

Kabadi YM, Harsha B. Hysterolaparoscopy in the Evaluation and Management of Female Infertility. J Obstetr Gynaecol India. 2016;66(1):478-81.

Mohamed SG, Ragab MD, Mohamed SA, Shaimaa EMA. Role of hysteroscopy and laparoscopy in evaluation of unexplained infertility. Menoufia Med J. 2019;32(4):1401.

Selvaraj P, Parpillewar M, Fidvi J. Diagnostic Hysterolaparoscopy in the Evaluation of Female Factor Infertility: A Cross-sectional Study at a Tertiary Care Hospital in Central India. Int J Infertil Fetal Med 2020;11(2):37-41.

Nayak PK, Mahapatra PC, Mallick J, Swain S, Mitra S, Sahoo J. Role of diagnostic hystero-laparoscopy in the evaluation of infertility: A retrospective study of 300 patients. J Hum Reprod Sci. 2013;6(1):32-4.

Kumar A, Snehlata, Srivastava M, Vandana RS. Role of diagnostic laparoscopy in infertility. Surgical Review Int J Surg Trauma Orthoped. 2020;6(1):7-14.

Mishra S, Sudhir S. Diagnostic hysterolaparoscopy in evaluation of female infertility in a Rural Medical College. Indian J Obstetr Gynecol Res. 2016;3(3):196-8.

Nanaware SS, Saswade M, Shende PN, Gaikwad P, Mahana S, Kirane A. Role of Hysterolaparoscopy in the Evaluation of Female Infertility in Tertiary Care Centre. Int J Contemporary Med Res. 2016;3(10):77-83.

Anurupa D, Ravikanth GO, Doppa GJ, Purushotham MK. Role of Diagnostic Hysterolaparoscopy in Female Infertility: A Retrospective Study. JMSCR. 2019;07(01):933-8.

Panchal DN, Shah A. Role of diagnostic laparoscopy in infertility. Int J Reprod Contracept Obstet Gynecol. 2016;5(12):4180-83.

Gupta S, Gupta P, Taly A, Das R. Comparative study-hysterosalpingography and laparoscopy in 120 cases of infertility. J Obst Gyn India. 1984;685-9.

Singh M. A comparative analysis of diagnostic laparoscopy and hysterosalpingography in cases of infertility. J Obst Gyn India. 1988;4:471-4.

Duignan NM, Jordan JA, Coughlan BM, Logan-Edwards R. One thousand consecutive cases of diagnostic laparoscopy. Int J Obstetr Gynaecol. 1972;79(11):1016-24.

Fear RE. Laparoscopy: a valuable aid in gynecologic diagnosis. Obstet Gynecol. 1968;31(3):297-309.

Musich JR, Behrman SJ. Infertility laparoscopy in perspective: review of five hundred cases. Am J Obstet Gynecol. 1982;143(3):293-303.

Peterson EP, Behrman SJ. Laparoscopy of the infertile patient. Obstet Gynecol. 1970;36(3):363-7.

El-Minawi MF, Abdel-Hadi M, Ibrahim AA, Wahby O. Comparative evaluation of laparoscopy and hysterosalpingography in infertile patients. Obstet Gynecol. 1978;51(1):29-32.

Tulandi T, Arronet GH, McInnes RA. Arcuate and bicornuate uterine anomalies and infertility. Fertil Steril. 1980;34(4):362-4.

Nahar LK, Haque N, Kutubi A, Rumana A, Akhter S, Tonny NY, et al. Evaluation of Laparoscopy in Diagnosis of Female Infertility in Females- A Retrospective Study. J Gynecol. 2022;7(4):1-7.

Vidyasagar V, Divya TK, Megharaj SS, Sahana, Shyamala, Sudheshna, Nandhini. A study on the organic causes of female infertility by diagnostic hysterolaparoscopy. 2023;9(6):1607-12.

Shinde M, Sable U, Shitole R. Should diagnostic hysteroscopy and diagnostic laparoscopy be a combined primary work up in evaluating primary and secondary infertile women? Int J Clin Obstetr Gynaecol. 2019;3(4):84-7.

Downloads

Published

2024-05-29

Issue

Section

Original Research Articles