Laparoscopy with hysterosalpingography in evaluation of infertility

Aim: Aim of the study is to evaluate the role of Laparoscopy with hysterosalpingography in evaluation of patients with infertility. Materials and Methods: This prospective clinical study is conducted at in the department of Obstetrics and Gynaecology, Al Ameen Medical College Vijayapura Karnataka from January 2017 to December 2018. Results: Out of 50 cases of primary infertility, 38(76%) were primary infertility and 12(24%) were secondary infertility. The most common age group of primary infertility is 21-25 years and secondary is 26-30 years, With mean duration of 4.6 years for primary and 4.9 years for secondary infertility. Laparoscopic findings of ovary showed 7 cases (58.33%) of PCOD, 3 cases (25%) of simple ovarian cyst and 2 cases(16.67%) of chocolate cyst in primary infertility, while in secondary infertility PCOD was 1 case(33.34%), Simple ovarian cyst 1 case(33.33%) and chocolate cyst 1 case(33.33%). Laparoscopic examination of tubes in primary infertility showed 5 cases (13.15%) with unilateral block and 1 case(2.63%) with bilateral block, while in secondary infertility 2 cases(16.66%) had unilateral block and 2 cases(16.66%) had bilateral tubal block. On peritoneal examination in primary infertility, 7 cases(18.42%) had endometriosis and 2 cases(5.26%) had peritoneal adhesions, while in secondary infertility 1 case(8.33%) had endometriosis and 4 cases(33.33%) had pelvic adhesions. Laparoscopic examination of uterus in primary infertility showed 2 cases(5.26%) of myoma and 2 cases(5.26%) of uterine anomalies, While in secondary infertility 3 cases(25%) had myomas and 1 case(8.53%) had uterine anomaly. Conclusion: Laparoscopy is useful in the diagnosis of pelvic adhesions, endometriosis and external part of tube, fimbriae, Relations of tubes and ovaries. Hysterosalpingography is useful in the evaluation of endometrial and tubal pathology.