English

Abstract

BACKGROUND AND OBJECTIVES: Laparoscopy is considered the gold standard for diagnosing tubal and peritoneal disease. The present study was aimed to evaluate the role of hystero- laparoscopy in the study of primary and secondary infertility so as to identify the various pathological conditions in female reproductive tract leading to primary/ secondary infertility and also to observe the complications of the procedure. METHODOLOGY: The present one year observational study was done in the Department of Obstetrics and Gynecology of a tertiary care hospital situated in Davanagere, Karnataka from January 2012 to December 2012. A total of 100 infertile women, anxious to conceive, coming for infertility work-up in hospitals underwent hystero- laparoscopy. RESULTS: The commonest age group was 26 to 30 years (57%) and the mean age was 27.27 ± 3.59 years. The history of consanguineous marriage was present in 20%. Majority (74%) of the women reported regular cycles while 26% of the women reported irregular menstrual history. Almost half of the study population (50%) had duration of infertility between 4 to 6 years and the mean duration was 4.62 ± 158 years. Primary infertility was noted in 79% of the women and PCOS was the commonest finding noted in 18.99%. In women with secondary infertility, pelvic inflammatory disease was the commonest diagnosis (19.05%). Majority (96.20% and 90.48% respectively) of the women with primary and secondary infertility did not have any complications. CONCLUSION AND INTERPRETATION: Diagnostic hysterolaparoscopy identifies the various pathological conditions leading to primary and secondary infertility and thus helps obstetrician for effective management hence it may be performed in all infertile patients.