Value of laparoscopy in infertile women with normal hysterosalpingograms.
- Author:
Jong Hee KWON
1
;
Seong Seog SEO
;
Mi Ran KIM
;
Kyung Joo HWANG
;
Hye Jin CHANG
;
Suk Joon CHANG
;
Hee Sug RYU
Author Information
1. Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea. kjhwang@ajou.ac.kr
- Publication Type:Original Article
- Keywords:
Hysterosalpingogram;
Laparoscopy;
Infertility
- MeSH:
Endometriosis;
Fallopian Tube Diseases;
Fallopian Tubes;
Female;
Humans;
Hysterosalpingography;
Infertility;
Laparoscopy*;
Retrospective Studies
- From:Korean Journal of Obstetrics and Gynecology
2005;48(2):370-375
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate the value of laparoscopy in infertile women with normal hysterosalpingograms. METHODS: Retrospectively analyzed the laparoscopic findings of 79 infertility patients with normal hysterosalpingograms. RESULTS: Of the 79 patients, 28 (35.4%) showed normal laparoscopic findings, while in 51 (64.6%) patients, it was abnormal. Abnormal findings consisted of stage I-II endometriosis in 23 patients (45.1%), stage III-IV endometriosis in 5 (9.8%), peritubal adhesions in 7 (13.7%), and pelvic adhesions in 12 (23.5%). Among patients in whom patent fallopian tubes were demonstrated by hysterosalpingography, there were 2 (4.0%) patients each with tubal obstruction and hydrosalpinx. CONCLUSION: Even in patients who showed normal findings on a hysterosalpingogram, it is thought that laparoscopy in selected cases may provide enhanced efficacy in terms of cost and time effectiveness.
