Evaluation of infertile women by diagnostic hysterolaparoscopy
Sujata N Datti, Shruthi K, Shreedhar Venkatesh, Nagatejaswi T, Ravi Sree Shivani
Objectives: The objectives of the study are to identify the causes of infertility on diagnostic hysterolaparoscopy (DHL) and its correlation with infertility. Methods: This is a retrospective study of infertile women who underwent DHL in a tertiary care hospital during January to December 2019. The medical records of 120 women who underwent DHL during the study period were analyzed. The intraoperative findings were noted. The causes of infertility were assessed. Results: Among 120 women who underwent DHL 92 (77.31%) had primary infertility and 28 (22.69%) had secondary infertility. 44 women were in age group of 26-30y (36.66%). On Hysteroscopy, 104 (86.66%) cases had normal finding. Most common abnormal hysteroscopy finding was uterine polyp in 8(6.66%) women. On laparoscopy, 49(40.83%) women had normal findings. Tubal block being the most common pathology noted in 31cases (25.83%) in which bilateral block was found in 16(13.33%) and unilateral block in 15(12.5%), followed by PID in 15(12.5%). 36 procedures were carried out in the same setting including ovarian drilling in 14 (11.66%), ovarian cystectomy in 8 (6.66%), laparoscopic adhesiolysis in 4 (3.33%), hysteroscopic polypectomy in 8 (6.66%) and hysteroscopic septal resection in 2 (1.66%). Conclusion: DHL is a very useful tool for infertility evaluation. It helps in decision making and can help couples looking at a last resort for natural conception since therapeutic procedures could be performed if required.