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ORIGINAL ARTICLE
Year : 2015  |  Volume : 2  |  Issue : 1  |  Page : 29-33

Findings in diagnostic laparoscopy in patients with unexplained infertility


1 Department of Reproductive and Fetal Medicine, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India
2 Department of Obstetrics and Gynaecology, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India

Correspondence Address:
Shilpa Bhandari
Department of Reproductive and Fetal Medicine, Sri Aurobindo Medical College and PG Institute, Indore, Ujjain State Highway, Near MR 10 Crossing, Indore - 453 555, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2394-4285.180497

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Objective: Infertility is a growing concern of the society. In many cases the exact cause of infertility may not be elucidated, whether it is the tubal factor, male factor, uterine factor, or a combination. This adds to the emotional trauma of the couple. Many previous reports have tried to decipher the cause and the best line of management for these cases of unexplained infertility. The choice often lies between a diagnostic approach favoring laparoscopic evaluation and a therapeutic approach favoring the use of assisted reproductive techniques. This paper aims to understand the role of diagnostic hysterolaparoscopy in cases of unexplained infertility, the optimum time to perform it, and its role in changing the future management plan. Design: This was a retrospective study. Patients and Methods: Data of the identified patients were collected from patient case records and they included factors such as age, duration and type of infertility, clinical examination findings, and gynecological ultrasound. Previous treatment history included details of ovulation stimulation, intrauterine insemination (IUI), and other treatment. Intraoperative findings such as presence of peritubal adhesions, endometriosis, tubal pathology, perihepatic adhesions, and hysteroscopic findings were recorded. Results: Our study shows that performing diagnostic hysterolaparoscopy in cases of unexplained infertility is of advantage, especially in patients who have had two or more failed IUI in the past. Conclusion: Performing diagnostic hysterolaparoscopy prior to ovulation induction/IUI has not shown any significant advantage.


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