Timing and Values of Laparoscopy in Infertile Women with Normal Hysterosalpingography
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- Category: Vol. 82, June 2014
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Timing and Values of Laparoscopy in Infertile Women with Normal Hysterosalpingography, MOHAMED EL SHARKAWY and AMR H. HUSSEIN
Abstract
Objective: To verify the current practice of postponing laparoscopy after a normal HSG in infertile couples with no evident cause of infertility, aiming at reducing the need for interventional investigations thus decreasing cost and risk.
Study Design: Case series study including three hundred and thirty women.
Patients and Methods: The women were categorized into two groups as follows:
Group (1): 200 women with normal hysterosalpingography and undergoing laparoscopy for investigating infertility.
Group (2): 130 women undergoing hysterosalpingography as part of their infertility workup, with no obvious cause for infertility and scheduled to have diagnostic laparoscopy after 6 months of follow-up.
They were studied for at Kasr El Ainy Maternity Hospital from April 2013 to April 2014.
Results: By comparing retrospective and prospective groups, it was found that incidence of fallopian tube abnor-malities was more in group (2) (55%) than in group (1) (35%) and the incidence of change of diagnosis post operatively is markedly higher in group (2) (75%) than group (1) (42%) this may be due to the presence of follow-up in group (2).
Conclusions: In infertile women with normal hysterosal-pingography, laparoscopy is better not performed before 6 months after normal hysterosalpingography because of poten-tial therapeutic effect of hysterosalpingography. Also laparos-copy is better to be performed after a normal hysterosalpin-gography if pregnancy has not occurred by 6 months because of high incidence of pelvic pathology.