Diagnostic hysterolaparoscopy: An important tool in evaluation of female infertility, in beneficiaries of ESI scheme in Eastern India
Background: The WHO estimates that 60–80 million couples worldwide suffer from infertility and the overall prevalence of the primary infertility in India is 3.9–16.8%. As usual tests and examinations are unable to appreciate majority of pelvic pathology in infertile women, diagnostic laparoscopy has...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2022-05-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/44227 |
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| author | Nita Singh Kaushik Datta Pramanik Manisha Bajaj Rajib Roy |
| author_facet | Nita Singh Kaushik Datta Pramanik Manisha Bajaj Rajib Roy |
| author_sort | Nita Singh |
| collection | DOAJ |
| description | Background: The WHO estimates that 60–80 million couples worldwide suffer from infertility and the overall prevalence of the primary infertility in India is 3.9–16.8%. As usual tests and examinations are unable to appreciate majority of pelvic pathology in infertile women, diagnostic laparoscopy has become an essential part of infertility evaluation. Diagnostic laparohysteroscopy (DHL) gives the opportunity to directly visualize and manipulate pelvic organs which allow accurate diagnosis and give an option to treat at the same
sitting.
Aims and Objectives: The aims of this study were to detect pelvic organ abnormalities by diagnostic hysteroscopy and laparoscopy in the evaluation of female infertility in a tertiary care hospital.
Materials and Methods: This cross-sectional observational study recruited 50 patients who attended the infertility clinic during 1 year period as per inclusion and exclusion criteria. Those with male factor and endocrine abnormality were excluded from the study. The patients having abnormal hystero-salpingography (HSG) findings and those who in spite of having normal HSG finding, did not conceive even after three cycles of ovulation induction, underwent DHL.
Results: Out of the 50 patients, 35 (70%) suffering from the primary and 15 (30%) suffering from the secondary infertility. The mean age of the study population was 29.5±5.3 years. Most of the cases presented with 3–6 years of infertility. The most common reported laparoscopic abnormality was ovarian in 58% cases, followed by 56% of pelvic and peritoneal abnormalities, 44% tubal factor abnormality, 36% having endometriosis at different stages, and 30% having uterine abnormality.
Conclusions: Hystero -laparoscopy has good diagnostic accuracy in evaluating pelvic pathologies. The combination of hysteroscopy with laparoscopy done in a single setting improves the detection rate of abnormalities of uterus, fallopian tubes, ovaries, and pelvic peritoneum. |
| first_indexed | 2024-12-12T22:12:48Z |
| format | Article |
| id | doaj.art-d7e534a76a654328b2fa2c72bddbce1f |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-12-12T22:12:48Z |
| publishDate | 2022-05-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-d7e534a76a654328b2fa2c72bddbce1f2022-12-22T00:10:12ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762022-05-01135183188https://doi.org/10.3126/ajms.v13i5.44227Diagnostic hysterolaparoscopy: An important tool in evaluation of female infertility, in beneficiaries of ESI scheme in Eastern IndiaNita Singh 0https://orcid.org/0000-0002-5520-8373Kaushik Datta Pramanik1https://orcid.org/0000-0002-6262-1254Manisha Bajaj 2https://orcid.org/0000-0001-8783-2018Rajib Roy 3https://orcid.org/0000-0001-7342-3336Assistant Professor, Department of Obstetrics and Gynaecology, ESI Post Graduate Institute of Medical Science and Research and MC, Kolkata Specialist Medical Officer Gynaecology and Obstetrics, Rampurhat District, Birbhum West Bengal Health Service Associate Professor, Department of Obstetrics and Gynaecology, ESI Post Graduate Institute of Medical Science and Research and MC, Kolkata Associate Professor, Department of Obstetrics and Gynaecology, ESI Post Graduate Institute of Medical Science and Research and MC, Kolkata Background: The WHO estimates that 60–80 million couples worldwide suffer from infertility and the overall prevalence of the primary infertility in India is 3.9–16.8%. As usual tests and examinations are unable to appreciate majority of pelvic pathology in infertile women, diagnostic laparoscopy has become an essential part of infertility evaluation. Diagnostic laparohysteroscopy (DHL) gives the opportunity to directly visualize and manipulate pelvic organs which allow accurate diagnosis and give an option to treat at the same sitting. Aims and Objectives: The aims of this study were to detect pelvic organ abnormalities by diagnostic hysteroscopy and laparoscopy in the evaluation of female infertility in a tertiary care hospital. Materials and Methods: This cross-sectional observational study recruited 50 patients who attended the infertility clinic during 1 year period as per inclusion and exclusion criteria. Those with male factor and endocrine abnormality were excluded from the study. The patients having abnormal hystero-salpingography (HSG) findings and those who in spite of having normal HSG finding, did not conceive even after three cycles of ovulation induction, underwent DHL. Results: Out of the 50 patients, 35 (70%) suffering from the primary and 15 (30%) suffering from the secondary infertility. The mean age of the study population was 29.5±5.3 years. Most of the cases presented with 3–6 years of infertility. The most common reported laparoscopic abnormality was ovarian in 58% cases, followed by 56% of pelvic and peritoneal abnormalities, 44% tubal factor abnormality, 36% having endometriosis at different stages, and 30% having uterine abnormality. Conclusions: Hystero -laparoscopy has good diagnostic accuracy in evaluating pelvic pathologies. The combination of hysteroscopy with laparoscopy done in a single setting improves the detection rate of abnormalities of uterus, fallopian tubes, ovaries, and pelvic peritoneum.https://www.nepjol.info/index.php/AJMS/article/view/44227diagnostic lap-hysteroscopylaparoscopyfemale infertilityhysteroscopyhystero-salpingography |
| spellingShingle | Nita Singh Kaushik Datta Pramanik Manisha Bajaj Rajib Roy Diagnostic hysterolaparoscopy: An important tool in evaluation of female infertility, in beneficiaries of ESI scheme in Eastern India Asian Journal of Medical Sciences diagnostic lap-hysteroscopy laparoscopy female infertility hysteroscopy hystero-salpingography |
| title | Diagnostic hysterolaparoscopy: An important tool in evaluation of female infertility, in beneficiaries of ESI scheme in Eastern India |
| title_full | Diagnostic hysterolaparoscopy: An important tool in evaluation of female infertility, in beneficiaries of ESI scheme in Eastern India |
| title_fullStr | Diagnostic hysterolaparoscopy: An important tool in evaluation of female infertility, in beneficiaries of ESI scheme in Eastern India |
| title_full_unstemmed | Diagnostic hysterolaparoscopy: An important tool in evaluation of female infertility, in beneficiaries of ESI scheme in Eastern India |
| title_short | Diagnostic hysterolaparoscopy: An important tool in evaluation of female infertility, in beneficiaries of ESI scheme in Eastern India |
| title_sort | diagnostic hysterolaparoscopy an important tool in evaluation of female infertility in beneficiaries of esi scheme in eastern india |
| topic | diagnostic lap-hysteroscopy laparoscopy female infertility hysteroscopy hystero-salpingography |
| url | https://www.nepjol.info/index.php/AJMS/article/view/44227 |
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