Evaluation of cases of infertility by endometrial biopsy, hysterosalpingography and diagnostic laprohysteroscopy

Abstract

Introduction: This study was conducted to evaluate cases of infertility by endometrial biopsy, hysterosalpingography (HSG) and diagnostic laparohysteroscopy.Methods: In this study, 100 infertile women (primary and secondary infertility) were thoroughly evaluated and investigated systematically to know the cause of infertility. Premenstrual endometrial biopsy, HSG diagnostic laparohysteroscopy was done in all patients. Results: Premenstrual endometrial biopsy revealed proliferative endometrium in 24%, endometritis in 3%, tubercular endometritis in 4% and adenomatous hyperplasia in 5% cases. On HSG, bilateral tubal block was found in 36% cases while on laparochromopertubation only 25% cases. 73% cases had abnormal findings on laproscopy,out of them pelvic adhesions were most common (22%). HSG detected hydrosalpinx, congenital anomalies of uterus and tubes, T.B findings significantly. 47% cases had positive findings on hysteroscopy and intrauterine synechiae was most common (17%).Conclusion: No procedure is substitute for other and all are complementary to each other with specific role of endometrial biopsy for ovulation detection and endometrial bed pathology, HSG and laprochromopertubation for tubal patency, laproscopy for pelvic pathology and hysteroscopy for intrauterine pathologies.