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Volume 12 Issue 3 ( July-September ) 2023

Original Articles

Assessment of role of HSG and hysterolaparoscopy in infertility
Dr. Kartik Raina, Dr. Nidhi Thakur, Dr. B R Bhagat, Dr. Vikrant Gupta

Background: Infertility has a negative effect on the psychological well–being and sexual relationships of couples. The present study compared and evaluated the role of HSG and hysterolaparoscopy in infertility. Materials & Methods: 100 patients in the department of Obstetrics and Gynaecology, at SMGS Hospital, Government Medical College Jammu were asked about the duration of infertility as well as about all the tests and procedures they have had undergone in the past. per vaginal examination was done. Laparoscopy was performed following hysteroscopy. Results: Uterus was centralized in 91% of patients. Uterus was mobile in 83% study patients whereas uterine mobility was restricted in 17% study patients. In 87% study patients, uterus was anteverted whereas in 13% patients, the uterus was retroverted. On HSG, 17% patients had some sort of filling defect. In 47% of patients, some sort of spillage of dye was present whereas 53% patients had no spillage of dye on HSG. 30% patients had tubal factor for infertility identified upon diagnostic laparoscopy. The most common finding was that of hydro/hematosalpinx which was present in 12% patients, followed by excessive tortuousness/sacculation/elongation of tube in 9 % patients leading to infertility. Conclusion: Hysterolaparoscopy gave a dynamic overview of various factors of infertility and came out as a complete investigatory as well as therapeutic modality for managing female infertility. Also, routine hysterosalpingography is associated with a lot of pain and discomfort to the patient whereas hysterolaparoscopy is performed under suitable anesthesia.

 
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