Journal of AdvancedMedical and Dental Sciences Research

Background: One of the major concerns of the society is infertility. Identifying the cause of infertility is complex and after a standard evaluation 20-30% of couples will have no clearly identifiable cause of their infertility. Consequently, patients increasingly forgo surgery, particularly if they are otherwise asymptomatic and their initial diagnostic studies [i.e., hysterosalpingogram (HSG)] are normal. Hysteropsalpingography (HSG) is a radiologic procedure to investigate the shape of the uterine cavity and the patency of follapian tubes.This study was undertaken to evaluate the role of diagnostic hysteron ‑laparoscopy (DHL) in the evaluation of infertility. Material & Methods: From January to December in 2008 this retrospective study was conducted at two tertiary care centres . DHL with chromopertubation test was performed in early follicular phase in all the patients. The instruments used were those of KARL STORZ, Tuttlingen, Germany. Statistical analysis was done using SPSS software version 16. The Student’s t test was used for comparison of continuous variables and Chisquare test for proportions. Results: Out of 320 patients, 226 (about 70%) women had primary infertility and the rest had secondary infertility. The patients in secondary infertility group were slightly elder compared to primary group. The prevalence of unilateral and bilateral tubal block was equal in both the groups. Conclusion: Diagnostic hysterolaparoscopy is a safe method for assessment of infertility, particularly for detecting peritoneal endometriosis, adnexal adhesions, and septum in the uterus.
Key words: Hysteron -laparoscopy, Infertility

Corresponding Author: Dr. Rajashree D. Nagarashi, Associate Professor, Department of Gynaecology ,Gayathri Institute of Medical Sciences, Vishakhapatnam

This article may be cited as: Nagarashi DR, Panda S, Indira,. Kumari IKR. Role of diagnostic hysteron ‑laparoscopy (dhl) in the assessment of infertility- A retrospective analysis. J Adv Med Dent Scie Res 2016;4(5):24-27.