Infertility is a common phenomenon affecting about 60 to 80 million couples all over the world. Identifying the causes of infertility is a challenging phenomenon; it needs precise evaluation to point out the factors responsible causes for infertility. The present study is amid to evaluate the role of endoscopy in comprehensive work up of infertility, which would help in planning appropriate management.
Methods: A total of 50 infertile women were included in the study who fulfilled the inclusion criteria The patients were selected according to following criteria. This prospective observational study was conducted in the department of Obstetrics and Gynaecology, at SMGS HOSPITAL, Government Medical College, Jammu over a period of 1 year from November 2019 to October 2020 after obtaining clearance from ethical committee.
Results: We observed that primary infertility was the most common reason for endoscopic evaluation (68%). The commonest age group of studied was (25-29) years constituting about(24%). The laparoscopic modality successfully revealed abnormal finding in (82%) but could not any pathology in (18%) patients. Diagnostic endoscopy was the most common procedure performed on endoscopy (28%) followed by ovarian cystectomy (14%) followed by endometrioma removal (12%). 14 out of 50 patients i.e. 28% underwent diagnostic procedure and in the rest of the patients, 36 out of 50, therapeutic procedure was done at the same time.
Conclusions: Endoscopy remains the mainstay of evaluation in modern investigations of infertility. Hysterolaparoscopy has become 3rd eye, in fact gold standard of gynecologist in diagnosing infertility and doing therapeutic intervention at the same time.