Objectives: To study clinical profile of women who have undergone hysteroscopy and to assess factors of infertility through hysteroscopy, complemented by laparoscopy at Sir Sayaji General Hospital, Vadodara.
Methods: This was a prospective study conducted at the Department of Obstetric and Gynaecology, Sir Sayajirao General Hospital, Vadodara over a period of 1 year. A total of 69 women were enrolled. Study was conducted over a period of one year from 16th April, 2009 to 15th April, 2010. Complete biodata and clinical history were elicited. Women were thoroughly examined and investigations were carried out. Hysteroscopy with 5mm, 30° hysteroscope was used and laparoscopy was performed in conjunction with it. Women were followed up after six weeks and at six months.
Results: maximum no. of women were between 26-30 years of age group (33 women) with mean age of 27.9 years and a range of 15-35 years. 49 had primary infertility (71%) and 20 had secondary infertility (29%). Diagnostic hysteroscopy was performed in 66 women; whereas, operative hysteroscopy was done in 3 women (4.34%). Hysteroscopy was normal in 6o women. 13 women conceived with ovulation induction drugs. Out of 22 women who revealed abnormal HSG, hystero-laparoscopy in same women revealed abnormality in only 13 women.
Conclusion: Hysteroscopy and laparoscopy are diagnosing and treating both uterine and tubal infertility as well as some ovarian abnormalities. They permit to correct data from the HSG and to improve the pregnancy rate.