A STUDY ON HYSTEROLAPAROSCOPY IN FEMALE INFERTILITY- A DIAGNOSTIC CUM THERAPEUTIC TOOL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 34
Abstract
BACKGROUND Infertility, according to WHO, is defined as “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.” Infertility affects 10 – 15% of couples[1] posing a unique issue, as the couple must be treated rather than an individual. To evaluate the role of hysterolaparoscopy in female infertility and to study the effect of therapeutic procedures in achieving fertility. MATERIALS AND METHODS Forty consenting subjects excluding male factor infertility with normal hormonal profile and no contraindication to laparoscopy were subjected to diagnostic hysteroscopy and laparoscopy. Statistical Analysis Used: The data obtained from the medical records was categorised as patients with primary and secondary infertility and statistical analysis was done by using descriptive statistical method for determining frequencies and percentages and Chi-square test was used for determination of associations between categorical variables. A p-value of ≤ 0.05 was regarded as statistically significant and software used in the analysis was SPSS 17.0 version. Settings and Design: A prospective (Observational) study of forty patients with female infertility presenting to Outpatient Department of Obstetrics and Gynaecology, VIMSAR, Burla were evaluated over a period of 12 months. RESULTS We studied 40 patients comprising of 24 (60%) cases of primary infertility and 16 (40%) patients of secondary infertility. The average age of active married life for 40 patients was between 6 and 8 years. In our study, the most commonly found pathologies were PCOD, endometriosis and tubal blockage septate uterus. 13 (32.5%) patients conceived after hysterolaparoscopy followed by artificial reproductive techniques. CONCLUSION This study demonstrates the benefit of laparohysteroscopy for diagnosis and as a therapeutic tool in patients with primary and secondary infertility. We were able to achieve a higher conception rate of 32.5%.
Authors and Affiliations
Atal Bihari Dandapat, Sapneswar Behera, Swati Sucharita Sahoo
Keywords
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- EP ID EP544737
- DOI 10.14260/jemds/2018/842
- Views 77
- Downloads 0
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