Findings in diagnostic laparoscopy in patients with unexplained infertility

Abstract

Goal: Concern over infertility is growing among the general public. The exact cause of infertility is frequently unknown,
regardless of whether it is the tubal factor, male factor, uterine factor, or a combination of these. The couple's emotional
suffering is made worse by this. For these cases of infertility that cannot be explained, a number of previous research have
tried to determine the underlying cause and the best course of treatment. The choice is frequently made between a
diagnostic method that emphasises laparoscopic evaluation and a treatment strategy that favours the use of assisted
reproductive technologies.
This study aims to understand the role of diagnostic hysterolaparoscopy in cases of inexplicable infertility, when it should
be used, and how it might change the course of treatment. Design: The study was carried out in retrospect. Procedures and
Patients: Information about the chosen patients, such as age, the kind and duration of infertility, the outcomes of clinical
exams, and gynaecological ultrasounds, were gathered from patient case records. The preceding treatment history includes
information on ovulation stimulation, intrauterine insemination (IUI), and other treatments. Intraoperative findings
included peritubal adhesions, endometriosis, tubal pathology, perihepatic adhesions, and hysteroscopic findings. Results:
Our study shows that diagnostic hysterolaparoscopy is helpful when infertility cannot be explained, especially in people
who have had two or more unsuccessful IUIs. In conclusion, performing a diagnostic hysterolaparoscopy prior to
ovulation induction or IUI has not proven to be beneficial.