ROLE OF DIAGNOSTIC HYSTEROSCOPY IN INFERTILE WOMEN WITH NORMAL HYSTEROSALPINGOGRAM

The aim of this study was to clarify the role of simultaneous combined diagnostic approach using laparoscopy and hysteroscopy in the evaluation of female infertility.In a retrospective study, 360 infertile women underwent complete fertility evaluation. All the patients were examined by simultaneous combined laparoscopy and hysteroscopy as a part of the routine infertility evaluation.Laparoscopy and hysteroscopy were successful in 360 patients. Bilateral tubes were blocked in 18 (5%) and unilateral tubal occlusion were in 30 (8,33%) of patients. Pelvic adhesions were revealed in 40 (11,11%), and myomas in 42 (11,65%) out of that 31 (8,6%) were revealed by laparoscopy and 11 (3,05%) by hysteroscopy. Endometrial polyps were revealed in 26 (7,22%) and Syndrome Asherman in 3(0,83%) of patients. Uterine anomaly was found in 19 (5,27%) of cases and out of that septate uterus in 7 (37,15%), bicornuate uterus in 5 (26,31%), arcuate uterus in 4 (21,26%) and uterus unicornu cum cornu rudimentario in 3 (15,27%) of uterine anomalies. Endometriosis was found in 51 (14,16%), dermoid cysts in 8 (2,22%) and in 16 (4,44%) functional cysts of patients. Also, Fitz-Hugh- Curtis syndrome was revealed in 23 (6,11%) of our patients.Laparoscopy and hysteroscopy play very important role as diagnostic tools in the infertility women. Combined diagnostic simultaneous laparoscopy and hysteroscopy should be performed in all infertile patients before the treatment.

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Spontaneous follicular and luteal function in infertile women with oligomenorrhoea: role of luteinizing hormone

Clinical Endocrinology ◽

10.1111/j.1365-2265.1995.tb00543.x ◽

1995 ◽

Vol 43 (6) ◽

pp. 735-739 ◽

Cited By ~ 8

Author(s):

R. Fleming ◽

D. McQueen ◽

R. W. S. Yates ◽

J. R. T. coutts

Keyword(s):

Luteinizing Hormone ◽

Luteal Function ◽

Infertile Women

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The debated role of bariatric surgery in improving in-vitro fertilization outcomes in morbidly-obese infertile women-a case report and brief overview

Taiwanese Journal of Obstetrics and Gynecology ◽

10.1016/j.tjog.2021.07.029 ◽

2021 ◽

Vol 60 (5) ◽

pp. 935-937

Author(s):

Yi-En Chang ◽

Tzu-Ning Yu ◽

Ching-Hui Chen ◽

Szu-Yuan Chou ◽

Buo-Jia Lu ◽

...

Keyword(s):

Bariatric Surgery ◽

Case Report ◽

In Vitro Fertilization ◽

Morbidly Obese ◽

Vitro Fertilization ◽

Infertile Women

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The role of metformin in the treatment of infertile women with polycystic ovary syndrome

The Obstetrician & Gynaecologist ◽

10.1576/toag.6.3.145.26996 ◽

2004 ◽

Vol 6 (3) ◽

pp. 145-151 ◽

Cited By ~ 5

Author(s):

William Atiomo ◽

Anju Sinha

Keyword(s):

Polycystic Ovary Syndrome ◽

Polycystic Ovary ◽

Ovary Syndrome ◽

Infertile Women

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Adenomyosis in infertile women: prevalence and the role of 3D ultrasound as a marker of severity of the disease

Reproductive Biology and Endocrinology ◽

10.1186/s12958-016-0185-6 ◽

2016 ◽

Vol 14 (1) ◽

Cited By ~ 35

Author(s):

J. M. Puente ◽

A. Fabris ◽

J. Patel ◽

A. Patel ◽

M. Cerrillo ◽

...

Keyword(s):

3D Ultrasound ◽

Infertile Women ◽

Severity Of The Disease

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Prevalence of Chromosomal Abnormalities in Infertile Couples in Romania

Balkan Journal of Medical Genetics ◽

10.1515/bjmg-2015-0002 ◽

2015 ◽

Vol 18 (1) ◽

pp. 23-30 ◽

Cited By ~ 5

Author(s):

Dana Mierla ◽

M. Malageanu ◽

R. Tulin ◽

D. Albu

Keyword(s):

Retrospective Study ◽

Chromosomal Abnormalities ◽

Normal Karyotype ◽

Control Group ◽

Chromosomal Anomalies ◽

Exact Test ◽

Infertile Women ◽

Infertile Men ◽

Significant Statistical Association

AbstractThe purpose of this study was to establish a correlation between the presence of chromosomal abnormalities in one of the partners and infertility. This retrospective study was performed at the Department of Reproductive Medicine, Life Memorial Hospital, Bucharest, Romania, between August 2007 to December 2011. Two thousand, one hundred and ninety-five patients with reproductive problems were investigated, and the frequency of chromosomal abnormalities was calculated. The control group consisting of 87 fertile persons who had two or more children, was investigated in this retrospective study. All the patients of this study were investigated by cytogenetic techniques and the results of the two groups were compared by a two-tailed Fisher’s exact test. In this study, 94.99% patients had a normal karyotype and 5.01% had chromosomal abnormalities (numerical and structural chromosomal abnormalities). In the study group, numerical chromosomal abnormalities were detected in 1.14% of infertile men and 0.62% of infertile women, and structural chromosomal abnormalities were detected in 1.38% of infertile men and 1.87% of infertile women, respectively. The correlation between the incidence of chromosomal anomalies in the two sexes in couple with reproductive problems was not statistically significant. Recently, a possible association between infertility and chromosomal abnormalities with a significant statistical association has been reported. Our study shows that there is no association between chromosomal abnormalities and infertility, but this study needs to be confirmed with further investigations and a larger control group to establish the role of chromosomal abnormalities in the etiology of infertility.

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Comparison of Hysterosalpingography and Combined Laparohysteroscopy for the Evaluation of Primary Infertility

Kathmandu University Medical Journal ◽

10.3126/kumj.v13i4.16824 ◽

2017 ◽

Vol 13 (4) ◽

pp. 281-285 ◽

Cited By ~ 3

Author(s):

A. Nigam ◽

P. Saxena ◽

A. Mishra

Keyword(s):

Detection Rate ◽

False Negative ◽

False Negative Rate ◽

Uterine Cavity ◽

Cervical Canal ◽

Diagnostic Modality ◽

Infertile Patient ◽

Infertile Women ◽

Intrauterine Abnormalities

Background Hysterosalpingography (HSG) is a useful screening test for the evaluation of female infertility. Laparoscopy has proven role in routine infertility work up but role of hysteroscopy in an infertile patient with normal HSG for additional information is a subject of debate. Hysteroscopy permits direct visualization of the cervical canal and the uterine cavity and thereby helping in the evaluation of shape, and cavitary lesion.Objective To detect uterine abnormalities in infertile women by various approaches i.e. HSG and hysteroscopy and evaluating the role of combining hysteroscopy with laparoscopy for the evaluation of tubo-uterine factor for primary infertility.Method One twenty eight infertile women were evaluated and HSG was performed as a basic test for evaluation of tubes and uterine cavity. Women were subjected to combined laparoscopic and hysteroscopic examination on evidence of HSG abnormalities. In absence of any HSG abnormality, women were subjected to ovulation induction for three to six months and if they did not conceive during this period they were undertaken for combined laparo-hysteroscopic evaluation.Result The positive predictive value of HSG for detecting the intrauterine abnormalities was 70% among 126 patients where the hysteroscopy could be performed successfully. The diagnostic accuracy of HSG for intrauterine abnormalities revealed false negative rate of 12.96%. The most frequent pathologies encountered by laparoscopy were tubal and/or peritoneal and were found in 68% (87/128) of women. Total 64.06% infertile women had some abnormality on laparoscopy. This detection rate has been increased from 64.06% to 71.86% on including the concomitant hysteroscopy.Conclusion HSG is a good diagnostic modality to detect uterine as well as tubal abnormalities in infertile patient. HSG and hysteroscopy are complementary to each other and whenever the patient is undertaken for diagnostic laparoscopy for the infertility, hysteroscopy should be combined to improve the detection rate of abnormalities especially in communities where there is enormous risk of pelvic infection.

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