Abstract

Infertility is a common condition with important psychological, economic, medical and demographic implications. The prevalence of infertility ranges from 6.9% to 9.3% in developing countries. Female infertility can occur due to variety of causes, ranging from hormonal imbalance to congenital anomalies or infections or other pathologies involving uterus, FT, external genitalia or even error of coitus. Detailed history was taken, physical examination was done and relevant investigations were carried out. Cases requiring Hysterolaparoscopy were chosen. The latter procedure was carried out during the follicular phase of the menstrual cycle between days 5 and 10. Hysteroscopy revealed normal findings in 85.7% cases of primary infertility and 70% cases of secondary infertility. Abnormal findings noted Fibroid uterus, endometrial polyp, tubal ostial block, bicornuate uterus etc. On Laparoscopy Abnormal findings included PCOS, Ovarian cyst, Hydrosalpinx, Fimbrial abnormalities etc. On CPT, bilateral tubal block was seen in 18.4% cases and unilateral block in 10.5% cases. Combined Hysterolaparoscopy provides the best approach to diagnose organic causes of female infertility in cases who don‘t conceive following basic investigation and preliminary treatment. Endometrial biopsy is further helpful in management of some such cases.