Korean J Obstet Gynecol.  2005 Feb;48(2):370-375.

Value of laparoscopy in infertile women with normal hysterosalpingograms

• Kwon JH
• Seo SS
• Kim MR
• Hwang KJ
• Chang HJ
• Chang SJ
• Ryu HS

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.

Keyword

Hysterosalpingogram; Laparoscopy; Infertility

MeSH Terms

Endometriosis
Fallopian Tube Diseases
Fallopian Tubes
Female
Humans
Hysterosalpingography
Infertility
Laparoscopy*
Retrospective Studies