Role of hystero-laparoscopy with chromopertubation as a diagnostic cum therapeutic tool in evaluation and treatment of female infertility

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.

Keywords

• infertility
• hystero-laparoscopy
• chromopertubation
• ovulation induction
• assisted reproductive technology (art)