English

Abstract

AIMS: To evaluate the role of diagnostic laparohysteroscopy in the management of infertile females. SETTINGS AND DESIGN: The study was conducted in the department of obstetrics and gynaecology, S.N. Medical College, Agra. Total 100 infertile couples attending the outpatient department of obstetrics and Gynaecology were selected. 60 couples belonged to primary infertility group while 40 couples belonged to secondary infertility group. METHODS AND MATERIAL : All patients underwent transvaginal sonography with sonosalpingography. Then all patients were subjected to combined laparohysteroscopy including chromopertubation and the results were recorded. All the findings were noted on case sheet and a master chart was prepared. X 2 test was applied to find out significance of tests. P value < 0.05 was considered as significant. RESULTS: The laparoscopy was abnormal in 68% cases: Peritoneal and peri-tubal adhesions (29%), phimosis / hydrosalpinx (19%), polycystic ovaries (26%), tubo-ovarian masses (16%), endometriosis (4%), congenital abnormalities (10%), myomas (3%), bilateral tubal blockage(49%) and unilateral tubal blockage(17%). The operative laparoscopy was performed in 53% of cases. The hysteroscopy was abnormal in 50% cases : uterine synechias (11%), thick endometrium (15%), endometrial polyps (7%), myomas (2%), atrophy (6%), congenital abnormalities (7%) and foetal bones (2%). The operative hysteroscopy procedure was performed in 38% cases. The pregnancy rate was 32.30%. CONCLUSION:. Results show that laparohysteroscopy has a promising role in diagnosing and treating infertility. Thus laparohysteroscopy has emerged as a new hope for infertile couples before they proceed to time-consuming and expensive in-vitro fertilization.