Role of Hysterolaparoscopy for the Evaluation of Female Infertility in a Tertiary Care Hospital in Eastern India

Authors

  • Apurba Mandal Associate Professor , Department of Gynecology & Obstetrics, Coochbehar Government Medical College & Hospital, Coochbehar, West Bengal, India
  • Kajal Kumar Patra Professor and HOD, Department of Obstetrics & Gynaecology, Lord Buddha Koshi Medical College, Bihar, India
  • Shibram Chattopadhyay Associate Professor, Department of Gynecology & Obstetrics, Nil Ratan Sirkar Medical College & Hospital, Kolkata, West Bengal, India
  • Arunava Biswas Associate Professor, Department of Pharmacology, Coochbehar Government Medical College & Hospital, Coochbehar, West Bengal, India
  • Md. Abdul Hadi 2nd Year Post Graduate Trainee, Department Of Gynecology & Obstetrics., Nil Ratan Sirkar Medical College & Hospital H, kolkata
  • Poulami Samanta 3rd Year post Graduate Trainee, Department of Gynecology & Obstetrics, Nil Ratan Sirkar Medical College & Hospital, Kolkata, West Bengal, India
  • Shritanu Bhattacharyya Professor, Department of Gynecology & Obstetrics, Nil Ratan Sirkar Medical College & Hospital, Kolkata, West Bengal, India

Keywords:

Primary infertility, Secondary infertility, Hysterosalpingography, Laparoscopy, Hysteroscopy, Lap dye test (Chromopertubation)

Abstract

Introduction: Infertility affects about 10-15% of reproductive age couple and its increasing globally. Intraperitoneal pathology is responsible for 40-50% cases of infertility. The ability to visualize and treat the identifying pathology of uterus, fallopian tubes and ovaries during hysteroscopy is an essential part of infertility evaluation. Objective: To study the prevalence of different causes of female infertility, diagnosis and treatment of infertility by combined hysteron-laparoscopy. Materials & Methods: Out of 220 patients who attended the infertility clinic, 200 infertile patients were included after fulfilling the inclusion and exclusion criteria in the study done over a period of 12 months from 1st April 2018 to 31 March 2019 in the Department of Gynecology at a tertiary care hospital in eastern India.Combined hysterolaparoscopy was performed and the observations were recorded followed by interventions as required was performed and noted. Results: The age range of the study participants were between 20-40 years. Primary infertility was seen in 118 out of 200 cases (59%) while rest 82 patients (41%) presented with secondary infertility. Diagnosis of abnormal pathology by hysteroscopy was made in 29 cases (24.6%) in primary infertility and in 20 cases (24.4%) in secondary infertility. By laparoscopy, pathological causes of infertility were found in 64 cases (54.2%) of primary infertility while in 34 cases (41.5%) of secondary infertility showed abnormal findings. Submucosal fibroid 6(5.1%), uterine septum 2 (1.7%), cornual block 15 (12.7%), polyp 4 (3.4%), synechiae 3(2.5%) were the commonest hysteroscopic findings of primary infertility.  Endometritis 5 (6.1%), submucous fibroid 5 (6.1%), cornual block 12(14.6%), synechiae 4 (4.9%), polyp 2 (2.4%) were commonest hysteroscopic findings of secondary infertility.  Endometriosis 37 (31.4%), fibroid 14 (11.9%), pelvic adhesions 15 (12.7%), PCOS 21 (17.8%), UTB 21 (17.8%), BTB 20 (16.9%) were prevalent findings in laparoscopy in primary infertility while the lap findings in secondary infertility were PCOS 31 (37.8%), endometriosis 23 (28%), UTB 17 (20.7%), pelvic adhesions 11 (13.4%). Conclusion: Combined Hysterolaparoscopy is an effective and reliable method in comprehensive evaluation of female infertility.

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Published

2020-11-30

How to Cite

Mandal, A., Patra, K. K., Chattopadhyay, S., Biswas, A., Hadi, M. A., Samanta, P., & Bhattacharyya, S. (2020). Role of Hysterolaparoscopy for the Evaluation of Female Infertility in a Tertiary Care Hospital in Eastern India. International Journal of Health and Clinical Research, 3(10), 35–41. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/368

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