A prospective study to evaluate the role of hysterolaparoscopy in infertility

Pooja Subhash Kale, Sylvia Noronha


Background: Infertility is one of the most important and underappreciated reproductive health problems in developing countries. The aim of the present study was to evaluate the role of hysterolaparoscopy in infertility.

Methods: It was observational prospective study. In this study, 50 patients in the age group of 20-40 years who are anxious to conceive formed the study group. All women were subjected to a detailed history taking followed by clinical examination.

Results: Out of 50 cases studied, 30 (60%) were of primary infertility while, 20 (40%) were of secondary infertility. Laparoscopic findings were as follows, 28% had polycystic ovaries, 20% had endometriosis, 18% had tubal factors, 18% had adhesions, and 8% had fibroids while 4% had PID. Hysteroscopic findings were uterine septum in 16%, T shaped cavity in 14%, shaggy-hyperplastic endometrium in 10% while adhesions and polyps in 8% and 4% respectively. 16 women (32%) conceived after the procedure during the study period.

Conclusions: It is concluded that while investigating the causes of female infertility combined simultaneous diagnostic laparoscopy and hysteroscopy with operative interventions wherever indicated should be performed in all infertile patients before treatment, especially in women with age more than 30 years.


Hysterolaparoscopy, Infertility, Primary infertility, Secondary infertility

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Cunanan RG, Courey NG, Lippes J. Laparoscopic findings in patients with pelvic pain. American J Obstetr Gynecol. 1983 Jul 1;146(5):589-91.

Templeton AA, Kerr MG. An assessment of laparoscopy as the primary investigation in the subfertile female. BJOG: Int J Obstetr Gynaecol. 1977 Oct 1;84(10):760-2.

Sharma R; Sharma V, The infertile woman; a study of 120 cases. J Indian Med Assoc. 1991;89(2):31-2.

Chakraborti DK, Kole SK, Diagnostic laparoscopy in gynaecologic disorders. J Obst Gynecol. 1990;40:262-5.

Olivennes F, Hourvitz A, Lédée N, Gervaise A, Fernandez H, Frydman R. Should diagnostic hysteroscopy be a routine procedure during diagnostic laparoscopy in women with normal hysterosalpingography? Reprod Bio Med. 2002;4(3):256-60.

Homer HA, Li TC, Cooke ID. The septate uterus: a review of management and reproductive outcome. Fertil Steril. 2000 Jan 1;73(1):1-4.

Zhang E, Zhang Y, Fang L, Li Q, Gu J. Combined hysterolaparoscopy for the diagnosis of female infertility: a retrospective study of 132 patients in china. Materia Socio Med. 2014 Jun;26(3):156.

Nayak PK, Mahapatra PC, Mallick JJ, 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 Jan;6(1):32.

Kamiński P, Wieczorek K, Marianowski L. Usefulness of hysteroscopy in diagnosing sterility. Polish Gynecol. 1992 Dec;63(12):634-7.

Boudhraa K, Jellouli MA, Kassaoui O, Ben NA, Ouerhani R, Triki A et al. Role of the hysteroscopy and laparoscopy in management of the female infertility: about 200 cases. Tunisia Med. 2009 Jan;87(1):55-60.

Corson SL, Cheng A, Jacqueline NG. Laparoscopy in the “normal” infertile patient: a question revisited. J Am Associat Gynecolgic Laparoscop. 2000 Aug 1;7(3):317-24.

Tanahatoe SJ, Hompes PG, Lambalk CB. Investigation of the infertile couple: should diagnostic laparoscopy be performed in the infertility work up programme in patients undergoing intrauterine insemination?. Hum Reprod. 2003 Jan 1;18(1):8-11.

Cundiff G, Carr BR, Marshburn PB. Infertile couples with a normal hysterosalpingogram. Reproductive outcome and its relationship to clinical and laparoscopic findings. J Reprod Med. 1995 Jan;40(1):19-24.

Tsuji I, Ami K, Miyazaki A, Hujinami N, Hoshiai H. Benefit of diagnostic laparoscopy for patients with unexplained infertility and normal hysterosalpingography findings. Tohoku J Expe Med. 2009;219(1):39-42.