TY  - JOUR
T1  - Role of Diagnostic Hystero-Laparoscopy in treatment of Infertility
AU - Inukollu, Pranadeep AU - Priyanka, N.V. AU - Arja, Kavya 
JO  - Research Journal of Medical Sciences
VL  - 18
IS  - 11
SP  - 672
EP  - 676
PY  - 2024
DA  - 2001/08/19
SN  - 1815-9346
DO  - makrjms.2024.11.672.676
UR  - https://makhillpublications.co/view-article.php?doi=makrjms.2024.11.672.676
KW  - Hystero-laparoscopy
KW  - infertility
KW  - primary infertility
KW  - secondary infertility
KW  - ovarian pathology
KW  - tubal block
KW  - uterine abnormalities
KW  - therapeutic interventions.
AB  - Infertility affects approximately 10-15% of reproductive-aged couples
worldwide, with female factors contributing significantly to its etiology.
Despite advancements in diagnostic modalities, many underlying causes
remain undiagnosed, necessitating a comprehensive approach. Diagnostic
hystero-laparoscopy has emerged as a gold-standard, minimally invasive
technique for evaluating and managing infertility by identifying uterine,
tubal and pelvic abnormalities. The study aimed to evaluate the
diagnostic and therapeutic efficacy of hystero-laparoscopy in identifying
and managing the underlying causes of infertility in women. This
prospective observational study included 110 women with infertility,
categorized into primary (n = 85) and secondary infertility (n = 25). All
participants underwent diagnostic hystero-laparoscopy during the early
follicular phase. Hysteroscopy assessed intrauterine pathologies, while
laparoscopy evaluated tubal patency, ovarian and pelvic pathologies.
Therapeutic interventions, including polypectomy, adhesiolysis and
chromopertubation, were performed as needed. Data were analyzed to
determine the prevalence of abnormalities and their impact on
subsequent fertility outcomes. Abnormal findings were observed in 62%
of patients on laparoscopy and 31% on hysteroscopy. The most common
laparoscopic findings were ovarian pathologies (21%) and endometriosis
(18%), while hysteroscopy revealed endometrial polyps (11%) and uterine
septa (6%) as the predominant abnormalities. Tubal blockages were
identified in 14% of cases, with bilateral tubal patency seen in 74%.
Combined abnormalities were present in 22% of patients. Secondary
infertility showed a higher rate of hysteroscopic abnormalities (48%)
compared to primary infertility (26%). Diagnostic hystero-laparoscopy is
a safe and effective tool for the comprehensive evaluation and
management of infertility. Its dual-modality approach allows for
simultaneous diagnosis and therapeutic intervention, improving fertility
outcomes in affected women.
ER  -