International Journal of Clinical Obstetrics and Gynaecology

Also to study its significance in etiopathology of primary and secondary infertility.

Materials and Methods: In a prospective study of 100 infertile female, patient were thoroughly examined, evaluated & underwent Hysterolaparoscopy as a primary work up. Patient divided into 2 categories 50 patient of primary infertility & 50 patients as 2⁰ infertility

Results: In this study it was found that tuberculosis (TB) were present in 7 patients of primary (1⁰) & 2 patients of secondary (2⁰) infertility. Pelvic adhesions were found in 7 patients of 1⁰ & 5 patients of 2⁰ infertility. Bilateral tubal black seen in 4 patients of 1⁰, none of the patient of 2⁰ infertility were found to have bilateral tubal block. Unilateral tubal block – seen in 4 patients of 1⁰ & 2 patients of 2⁰ infertility

Also on hysteroscopy uterine anomalies were present in 3 patients of 1⁰ & 5 patient of 2⁰ which includes Arcuate, Bicarnuate, unicornuate, Septate uterus. Submucous fibroid were found in 1 patient of 1⁰ & 3 patient of 2⁰ infertility.

Hysterolaparoscopy plays very important role as diagnostic tool in the infertile women.

Also, diagnostic hysteroscopy has significant role in the evaluation of the cause of female infertility both primary & secondary. Furthermore hysterolaparoscopy can be used simultaneously for treatment of any pathological condition like septal resection, polycystic ovary drilling, fimbrial block & many more. However, one can rarely expect to find the definite underlying reason for infertility in all other methods of evaluation.

Conclusion: We consider combined laparoscopy and hysteroscopy to be the most important procedures in the evaluation of female infertility & combined diagnostic laparoscopy and hysteroscopy should be performed in all infertile patient of primary & secondary infertility before subjecting her for further treatment.