Shabnam Jahan Syad1, Someraj Subhas Sarkar2, Mahima Tiwari3, Dilip Kumar Bhowmik4
The causative agent for female infertility are often multifactorial. The role of hysteroscopy in current practice is an essential modality to direct visualise the different intrauterine abnormalities. Moreover, it allows both the diagnostic and therapeutic procedure at the same sitting.
MATERIALS AND METHODS
This is a prospective and descriptive study; 50 infertile women either primary or secondary was recruited for hysteroscopic evaluation. Study was done in Acharya Vinoba Bhave Rural Hospital, Sawangi, Wardha, from July 2015 to June 2016. Hysteroscopy was performed in early follicular phase (6 to 10 day) using 3.9 mm continuous-flow operative hysteroscopy based on rod lens scope with short general anaesthesia. The uterine cavity was distended by normal saline solution and intrauterine pressure was controlled by an irrigation device. Intrauterine pressure was set around 30 mmHg resulting in a balance irrigation flow of around 200 mL/minute and vacuum of 0.1 bar endometrial specimens were obtained. Specimen were collected in formalin solution and sent for histopathological examination.
In our study, most of the patients (50%) were married for (1-3) years and (24%) were in the group of (4-7) years married life. In our study, 4% of the patients had normal uterine cavity, but majority of the patients 96% had abnormal hysteroscopic findings comprising endometrial hyperplasia 19.79%, endometrial polyp 9.38%, submucous fibroid 8.33%, intrauterine adhesion 8.33% and incomplete septum 4.17%.
Hysteroscopy can be performed with minimal discomfort and superior sensitivity along with higher specificity.