Value of laparoscopy in infertile women with normal hysterosalpingograms.

Kwon, Jong Hee; Seo, Seong Seog; Kim, Mi Ran; Hwang, Kyung Joo; Chang, Hye Jin; Chang, Suk Joon; Ryu, Hee Sug

Original Article

Korean Journal of Obstetrics & Gynecology 2005;48(2):370-375.
Published online February 1, 2005.

Value of laparoscopy in infertile women with normal hysterosalpingograms.

Jong Hee Kwon, Seong Seog Seo, Mi Ran Kim, Kyung Joo Hwang, Hye Jin Chang, Suk Joon Chang, Hee Sug Ryu

Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea. kjhwang@ajou.ac.kr

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.

Key Words: Hysterosalpingogram, Laparoscopy, Infertility