A prospective study to evaluate the role of hysterolaparoscopy in infertility

Background: Infertility is one of the most important and underappreciated reproductive health problems in developing countries. The aim of the present study was to evaluate the role of hysterolaparoscopy in infertility.Methods: It was observational prospective study. In this study, 50 patients in the age group of 20-40 years who are anxious to conceive formed the study group. All women were subjected to a detailed history taking followed by clinical examination.Results: Out of 50 cases studied, 30 (60%) were of primary infertility while, 20 (40%) were of secondary infertility. Laparoscopic findings were as follows, 28% had polycystic ovaries, 20% had endometriosis, 18% had tubal factors, 18% had adhesions, and 8% had fibroids while 4% had PID. Hysteroscopic findings were uterine septum in 16%, T shaped cavity in 14%, shaggy-hyperplastic endometrium in 10% while adhesions and polyps in 8% and 4% respectively. 16 women (32%) conceived after the procedure during the study period.Conclusions: It is concluded that while investigating the causes of female infertility combined simultaneous diagnostic laparoscopy and hysteroscopy with operative interventions wherever indicated should be performed in all infertile patients before treatment, especially in women with age more than 30 years.

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A prospective study of the role of coxsackie B and other enterovirus infections in the pathogenesis of IDDM. Childhood Diabetes in Finland (DiMe) Study Group

Diabetes ◽

10.2337/diabetes.44.6.652 ◽

1995 ◽

Vol 44 (6) ◽

pp. 652-657 ◽

Cited By ~ 76

Author(s):

H. Hyoty ◽

M. Hiltunen ◽

M. Knip ◽

M. Laakkonen ◽

P. Vahasalo ◽

...

Keyword(s):

Prospective Study ◽

Study Group ◽

Childhood Diabetes ◽

A Prospective Study ◽

Coxsackie B

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P-174 When to do PET-CT and diagnostic laparoscopy in gall bladder cancer? A prospective study to assess the role of PET-CT and diagnostic laparoscopy in the staging of gall bladder cancer

Annals of Oncology ◽

10.1016/j.annonc.2020.04.256 ◽

2020 ◽

Vol 31 ◽

pp. S146-S147

Author(s):

R. K ◽

S. Kumar ◽

S. Bhoriwal ◽

S. Deo ◽

A. Sharma ◽

...

Keyword(s):

Bladder Cancer ◽

Gall Bladder ◽

Prospective Study ◽

Diagnostic Laparoscopy ◽

Gall Bladder Cancer ◽

Pet Ct ◽

A Prospective Study

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A prospective study on role of dehydroepiandrosterone (DHEA) on improving the ovarian reserve markers in infertile patients with poor ovarian reserve

Gynecological Endocrinology ◽

10.3109/09513590.2013.824957 ◽

2013 ◽

Vol 29 (11) ◽

pp. 989-992 ◽

Cited By ~ 15

Author(s):

Neeta Singh ◽

Rinchen Zangmo ◽

Sunesh Kumar ◽

K. K. Roy ◽

J. B. Sharma ◽

...

Keyword(s):

Prospective Study ◽

Ovarian Reserve ◽

A Prospective Study ◽

Ovarian Reserve Markers ◽

Infertile Patients ◽

Poor Ovarian Reserve

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ROLE OF INTERLEUKIN-8 IN PREDICTING ENDOMETRIOSIS IN PATIENTS WITH CHRONIC PELVIC PAIN & INFERTILITY

Era s journal of medical research ◽

10.24041/ejmr2020.30 ◽

2020 ◽

Vol 7 (2) ◽

pp. 176-180

Author(s):

Amrita Singh ◽

Kiran Pandey ◽

Sangeeta Arya ◽

Ayesha Ahmad ◽

Fareha Khatoon

Keyword(s):

Prospective Study ◽

Pelvic Pain ◽

Peritoneal Fluid ◽

Chronic Pelvic Pain ◽

Diagnostic Laparoscopy ◽

Fluid Level ◽

Blood Samples ◽

Non Invasive ◽

A Prospective Study

To find out the levels of IL-8 in patients of chronic pelvic pain & infertility & assess its role in predicting endometriosis. It was a prospective study conducted over 50 patients of chronic pelvic pain & infertility undergoing diagnostic laparoscopy. During this procedure peritoneal fluid &blood samples were collected & prepared for ELISA, IL-8 estimation. Serum IL-8 levels of >22.16 pg/ml& peritoneal fluid level of >7.98 pg/ml were found to be 100% sensitive & specific .Thus they can be taken as cut-off value for predicting endometriosis. IL-8 was significantly elevated in the serum & peritoneal fluid in the patients of endometriosis diagnosed by diagnostic laparoscopy. Our study indicates that serum & peritoneal fluid IL-8 levels can discriminate patients with& without endometriosis and could serve as one of the non-invasive ideal markers to cut short the delay in the diagnosis & management of infertility and also lays down a foundation for further research in correlating IL-8 levels with disease severity

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Role of diagnostic hysterolaparoscopy in evaluation of female infertility

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20174060 ◽

2017 ◽

Vol 6 (9) ◽

pp. 4048

Author(s):

Mariyam S. Ahmed ◽

Anand N. Bhalerao

Keyword(s):

Prospective Study ◽

Diagnostic Procedures ◽

Female Infertility ◽

Reproductive Age ◽

Pelvic Examination ◽

Therapeutic Procedures ◽

Uterine Septum ◽

The Common ◽

A Prospective Study

Background: Infertility affects 10-15% of reproductive age couples. Routine pelvic examination and usual diagnostic procedures can miss majority of the pelvic pathologies. Hysterolaparoscopy is an effective tool for diagnosing these pathologies and additionally therapeutic procedures, like polypectomy, myomectomy, septal resection and adhesiolysis, can be done in the same sitting. Objective of present study was to determine the role of diagnostic hysterolaparoscopy for evaluating the causes of infertility.Methods: It was a prospective study conducted at the Department of OBGY from September 2015 to August 2016. Patients aged 20-40 years with infertility were included in the study. The prevalence of different lesions was analysed.Results: Out of the 30 patients studied, most had primary infertility. Laparoscopic abnormalities (56.6%) were more common than hysteroscopic abnormalities (36.6%). Adnexal adhesions (26.6%) was the most common abnormality detected on laparoscopy, while the common intra-uterine pathologies were uterine septum and synechiae.Conclusions: Hysterolaparoscopy may be recommended as the procedure of choice for evaluation of female infertility, which are usually missed by imaging modalities.

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