Dr. Sheetal Shah
Background and Aim: Diagnosis and treatment of infertility is an elaborate process. The goal of treating clinician is to decide upon the plan of management best suited to the couple by selecting relevant investigations and procedures from available options. The aim of this study was to assess the efficacy and safety of combined hysterolapascopy in the evaluation and treatment of female infertility.
Material and Methods: The research was conducted at the obstetrics and gynecology department of the medical college and the associated hospital in this observational study. The research for the study took a full year to complete. There were 116 women who took part in the research study, all of whom were unable to conceive. Using laparoscopy, we assessed various factors included adhesions, the condition of the pouch of Douglas, and the mobility of the tubal passages in relation to the ovary.
Results: Of the 116 women who took part in the study, 84 experienced primary infertility, while the remaining 32 women dealt with secondary infertility. Most of the patients fell within the younger age range of 25 to 30 years due to the age groups. Abnormalities were found in 80 of the women through laparoscopic examinations, and in 44 of the women through hysteroscopic examinations. Tubal blockage and endometriosis were particularly common in these cases.
Conclusion: Direct visualization makes hysterolaparoscopy a highly effective diagnostic procedure. During one session, it offers a unique chance to address the medical condition, restore the body's structure, and collect samples for further examination, as needed based on the situation.
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