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Analysis Study Research Paper | Obstetrics and Gynecology | India | Volume 13 Issue 7, July 2024 | Rating: 5.2 / 10
Justifying Role of Diagnostic Hysrero-Laparoscopy in an Infertile Patient
Priya Choudhary [2] | Smita Baheti | Jahanvi Damor
Abstract: Background: To substantiate the findings of hysteroscopy and laparoscopy to justify its role in female infertility in tertiary care centre. This study is contemplated to review the effectiveness of combining diagnostic hysteroscopy and laparoscopy in identifying the cause of infertility and taking appropriate therapeutic measure according to pathology during and after the procedure. Aims and Objective: our aim is to portray the significance of hystero-laparoscopy as a diagnostic tool in an infertile patient. METHODS: This study is conducted at American International Institute of medical sciences, Udaipur, Rajasthan. All the infertile patient in this study fulfilled the inclusion and exclusion criteria, underwent hystero-laparoscopy and the anatomical abnormalities noticed during procedure were tackled at the same time if possible. Period of study- 8 months. Results: The study showed majority of infertile patients were b/w age group 26-30 years (50%). 62% patients were of primary infertility and 38% belonged to secondary infertility. On hysteroscopy, most common abnormality seen in both primary and secondary infertility is ostial stenosis. On laparoscopic findings, in primary infertility most common abnormality seen is ovarian cyst (25%), whereas in secondary infertility most common abnormality seen is PID (20%), TB (20%), and Endometriosis (20%). Chromopertubation test 56% had B/L positive test f/b 30% with negative test and 14% with U/L positive test. In our study during diagnostic hysterolaparoscopy, at the same sitting surgical intervention were performed in majority of cases i.e., 75% intervention were performed in primary infertility pt. and 40% intervention in secondary infertility pt. Conclusion: DHL is safe and effective, diagnostic with therapeutic tool for primary and secondary female infertility. It can be taken as gold standard in initial phases of infertility work-up.
Keywords: Diagnostic, Hystero-laparoscopy, Infertility, surgical intervention
Edition: Volume 13 Issue 7, July 2024,
Pages: 1304 - 1307