الفهرس 
Laparoscopy in infrertlityOnly 14 pages are availabe for public view
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Abstract
Our study involved 50 cases of primary and secondary infertility, one year or more. These patients were subjected to the following tests :
l) Complete history, general and pelvic examiantions.
2) Premenstrual ouvlation.
3) Hysterosalpingography.
4) Lap a r o e c op u ,
endometrial biopsy to check
The aim of our study was to compare the diagnostic value of HSG and laparoscopy in the invistigation
of the infertile woman.
The results of paired HSG and laparoscopy were eval.
uat ed and it was found that:
l/ Regarding tubal patency and the site of tubal
block, there was complete agreement between HSG and
Laparoscopy in 37 patients (74%), and disagreement
in l3 patients (26%). Laparoscopy was not superior
to HSG in this respect, as the difference between the
two methods was statistically insignificant (P~0.05).
-103-
~/ Regarding pe~vic adhesions ~aparoscopy was
superior, diagnosing pe~vic adhesions in ~6 cases
(32%), whi~e on~y 6 (~2%) were suspected at HSG.
The difference is statistica~~y significant
(PC::::O. oi i .
~/ Laparoscopy allowed visualization of the
ovaries in al~ cases, and in our group, it yielded
a high rate of ovarian abnormaZitis (40%), including
ovarian cysts, cystic ovaries and periovarian
adhesions.
i/ Both procedures were eeeen t-iaL for correct
assessment of the uterus (cavity and surface) Of the
infertile woman.
~/ Pelvic endometriosis can on~y be diagnosed
at laparoscopy. In our series however, on~y one
case was found.
n We conc~uded that HSG and laparoscopy are
complementary to each other,and that both procedures
should be used in the invistigation Of the infertile
fema le to reach a fairly accurate diagnosis ..n A.t.thoagh
nowday~ contact hy~te~o~copy can ~ep.(aceHSG, and pe£~v~c ~onog~aphy can ~ep£ace .tap~o~copy ~n the~e pat~ent~.n