Role of hystero-laparoscopy with chromopertubation as a diagnostic cum therapeutic tool in evaluation and treatment of female infertility
Journal Title: The New Indian Journal of OBGYN - Year 2019, Vol 6, Issue 1
Abstract
Objectives: The purpose of this study is to assess the role of hystero-laparoscopy in diagnosis and treatment of the possible causes of female infertility and also to plan further management protocol for the infertile couple. Methods: This was a retrospective study conducted on 125 infertile patients who underwent hystero-laparoscopy with chromopertubation during the years 2013-2018. Data of the identified patients were collected from their case records. Intra-operative laparoscopy, hysteroscopy and chromopertubation findings were recorded and statistically analysed. Results: One hundred twenty five (125) infertile women underwent hystero-laparoscopy with chromopertubation during the study period. Hundred four (83.2%) patients had primary infertility while 21(16.8%) patients had secondary infertility. Seventy two (57.6%) patients had abnormal laparoscopic findings. Most common abnormal laparoscopic finding was endometriosis in 32(25.60%) patients. Commonest hysteroscopic abnormality was uterine anomaly in 13(10.5%) patients. On chromopertubation tubal block was found in 16(13.8%) patients. Of the 125 infertile patients therapeutic procedures were performed in 73 patients. Commonly performed procedures were adhesiolysis (21.91%), PCO drilling (20.54%) and ovarian cystectomy (19.17%). Twelve patients with bilateral tubal disease were advised to undergo ART, 39 patients were advised natural cycle and 74 patients planned for ovulation induction with or without IUI. Conclusion: The commonest possible cause of infertility identified by our study was endometriosis. Hystero-laparoscopy with chromopertubation is definitely very useful not only in diagnosis and treatment of pelvic pathology, but also to plan whether the couple need ART or not.
Authors and Affiliations
Kavitha G, Renukadevi B
Keywords
Related Articles
- EP ID EP658456
- DOI 10.21276/obgyn.2019.6.1.4
- Views 103
- Downloads 0
A comprehensive overview of role of combined myoinositol and D-chiroinositol (40:1 ratio) therapy in the management of PCOS
Polycystic Ovarian Syndrome (PCOS) is one of the most common metabolic and reproductive ailment among reproductive age group women. PCOS patients present with a constellation of signs and symptoms associated with menstru...
Role of drainage in surgical repair of vesicovaginal fistula
none
A clinical study of septic abortions in a tertiary care referral centre in rural India - Still a neglected scenario which can be a preventable catastrophe
Objectives: The aim of the present study was to assess the magnitude of septic abortion in a tertiary care referral hospital and study their complications. Methods: It was a retrospective study done on patients who were...
Maternal and perinatal outcome in HELLP syndrome at VIMS, Ballari
Objective: The aim of this study was to ascertain the presentation, diagnosis, severity and complications of HELLP syndrome and evaluation of the maternal and fetal outcome. Methods: Pregnancy induced hypertension (PIH)...
Parasitic dermoid cyst: obstructed labor
Dermoid cysts and cystadenoma are the most frequent organic benign ovarian tumors diagnosed during pregnancy. Dermoid cyst becoming parasitic and causing obstructed labor is one of the very rare phenomenon observed durin...