Study of correlation of clinical and laparohysteroscopic diagnosis among infertile patients

Background: To find the prevalence of infertile patients during the study duration of 24 months. To study the indications and findings of diagnostic hysteroscopy and laparoscopy and to correlate the laparo-hysteroscopy findings with the clinical diagnosis of the patients. Methods: Hospital based observational cross-sectional type of study for a duration of 24 months. 80 infertility patients in between the age of 18-40 years who underwent laparo-hysteroscopy were selected. Descriptive statistical analysis was carried out in the present study. Data analysis done by using SPSS (Statistical Package for social sciences) version 25:0. Using KAPPA statistics significance was assessed as 5% level of significance. Results: Pre valance of infertile patients during the study duration was 6.06%. Majority of patients (34) 42.5% were in age group 26-30 years. 80% of patients had primary and 20% had secondary infertility. 43 patients i.e. 53.75% of study patients had some abnormal findings which were diagnosed with the help of laparoscope. Maximum patients had pelvic pathology (endometriosis) as an abnormality constituting 20% of the study group followed by 15% of tubal pathology. 29 patients i.e. 36% of study patients had some abnormal findings which were diagnosed with the help of hysteroscope. 11 (13.75%) patients had synechiae followed by 10 patients i.e. 12.5% had intrauterine septum on hysteroscopy. Conclusions: Laparo-hysteroscopy has proved to be an effective, safe and minimally invasive tool in evaluation and treatment of infertile patients.