International Journal of Infertility & Fetal Medicine

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VOLUME 11 , ISSUE 1 ( January-April, 2020 ) > List of Articles

Original Article

Role of Hysterolaparoscopy in Infertility

Nayana D Hiremath

Citation Information : Hiremath ND. Role of Hysterolaparoscopy in Infertility. Int J Infertil Fetal Med 2020; 11 (1):5-10.

DOI: 10.5005/jp-journals-10016-1196

License: CC BY-NC 4.0

Published Online: 25-01-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Introduction: Hysterolaparoscopy often brings to light the hitherto unexpected pathology. The objective of this study was to evaluate various etiological factors in infertility by hysterolaparoscopy and to evaluate therapeutic interventions done during hysterolaparoscopy. Materials and methods: Women posted for hysterolaparoscopy for infertility workup in JSS hospital during the period from November 01, 2014, to October 31, 2016, were included in the study. First hysteroscopy was performed. In hysteroscopy, endocervical canal was visualized for any growth or polyps. Diagnostic laparoscopy was performed using a 30-degree deflection angle telescope powered with a fiber-optic cable for light source. Results: On hysteroscopy, out of 90 cases, 68 (75.6%) had normal findings, 10 (11.1%) had endometrial polyps, 5 (5.6%) had septate uterus, 3 (3.3%) had hyperplastic endometrium, and there was 1 case each of submucous fibroid, atrophic endometrium, intrauterine adhesions, and hypoplastic uterus. Laparoscopic interventions were performed in the form of ovarian cystectomy in 17 (18.8%), paraovarian cystectomy in 3 (3.3%), adhesiolysis in 2 (2.2%) cases, drilling of polycystic ovaries in 26 (28.8%) cases, fulguration or excision of endometriosis nodules in 4 (4.4%), myomectomy in 7 (7.7%) cases), fimbrial cystectomy in 2 (2.22%), and unilateral salpingectomy done in 2 (2.22%). Conclusion: Hysterolaparoscopy is an effective and safe tool in comprehensive evaluation of infertility to diagnose and treat the various pathological conditions in a single sitting.

  1. Infertility and the provision of infertility medical services in developing countries. Hum Reprod Update 2008;14(6):605–621. DOI: 10.1093/humupd/dmn042.
  2. International estimates on infertility prevalence and treatment seeking: potential need and demand for medical care. Hum Reprod 2009;24(9):2379–2380. DOI: 10.1093/humrep/dep219.
  3. Hysteroscopy in libyan women with recurrent pregnancy loss. Sudan J Med Sci 2014;9:239–244.
  4. Combined Hysterolaparoscopy for the diagnosis of femaleinfertility: a retrospective study of 132 patients in China. Mater Sociomed 2014;26(3):156–157. DOI: 10.5455/msm.2014.26.156-157.
  5. Role of diagnostic hystero-laparoscopy in the evaluation of infertility: a retrospective study of 300 patients. J Hum Reprod Sci 2013;6(1):32–34. DOI: 10.4103/0974-1208.112378.
  6. Pan endoscopic approach ‘Hysterolaparoscopy’ as an initial procedure in selected infertile women. J Clin Diagn Res 2014;8(2):95–98.
  7. Uterine and tubal anatomical abnormalities in infertile women: diagnosis with routine hysterosalpingography prior to selective laparoscopy. SA J Radiol 2011(4):121–122. DOI: 10.4102/sajr.v15i4.354.
  8. Should diagnostic hysteroscopy be a routine procedure during diagnostic laparoscopy in infertile women? Bosnian J Basic Med 2008;8(1):44–47. DOI: 10.17305/bjbms.2008.2996.
  9. Fibroids and infertility: an updated systematic review of the evidence. Fertil Steril 2009;91(4):1215–1223. DOI: 10.1016/j.fertnstert.2008.01.051.
  10. Role of diagnostic hysterolaparoscopy in evaluation of primary and secondary infertility. J Evolut Med Dent Sci 2014;1(3):2194–2207. DOI: 10.14260/jemds/2014/2126.
  11. Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian collaborative group on endometriosis. N Engl J Med 1997;337(4):217–220. DOI: 10.1056/NEJM199707243370401.
  12. Ablation of lesions or no treatment in minimal-mild endometriosis in infertile women: a randomized trial. Gruppo Italian per lo studio dell'Endometriosi. Hum Reprod 1999;14(5):1332–1334. DOI: 10.1093/humrep/14.5.1332.
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