Role of Hysterolaproscopy in the Evaluation of Infertility

Objective: To evaluate the role of hysterolaparoscopy in comprehensive work up of infertility. To identify the incidence of factors leading to infertility. To decide further plan of management. To asses the complications of the procedure. Methods: A total of 1000 women underwent diagnostic laparoscopy during the period of november 2014 to august 2016. Age ranged from 21 years to 40 years. After initial workup, diagnostic laproscopy was done under general anesthesia along with Chromopertubation for testing tubal patency. Results Of the total study population 445 members had primary subfertility and 555 members had secondary sub fertility. Among the 1000 patients studied 626 (62.6%) patients had normal uterine cavity and intra uterine pathology in 37.4% of study population. septum was found in 192 members and susequent septal resection was done in 158 members in the same sitting and intra cavitary synaechae were found in 85 patients and adhesiolysis was done in the same sitting. polyp were found in 70 members and subsequent polypectomy was done and submucous fibroids were found in 27 members. Tubal block comprised 15.2 % whereas distorted uterus by ?broid in 10.7 % Ovarian pathology was the most common ?nding (21.7 %), and pelvic endometriosis in 19.3 % of infertile cases were diagnosed. CONCLUSION: Diagnostic hysterolaparoscopy is an effective and safe tool in detailed evaluation of infertility, particularly for identifying tubal blockages, peritoneal endometriosis, adnexal adhesions and mullarian anamolies. In today's era of assisted reproductive techniques, laparoscopy is one of the first step in the evaluation of an infertile patient