Usefulness and prognostic value of transvaginal hydrolaparoscopy in infertile women.

OBJECTIVE

To evaluate the usefulness and prognostic value of transvaginal hydrolaparoscopy (THL) in infertile women.

DESIGN

Retrospective study.

SETTING

Jichi Medical School Hospital, Tochigi, Japan.

PATIENT(S): Thirty-six patients who were followed up for 6 months or longer after THL was performed.

INTERVENTION(S): Transvaginal hydrolaparoscopy findings in comparison with hysterosalpingography (HSG).

MAIN OUTCOME MEASURES: Transvaginal hydrolaparoscopy findings, HSG findings, treatment strategy, and prognosis.

RESULT(S): Twenty of 36 patients (55.5%) became pregnant, including 7 by coitus, 7 by artificial insemination with the husband's semen, and 6 by assisted reproductive technology (ART). In 11 of these pregnant patients, information obtained during THL differed from findings on HSG.

CONCLUSION(S): Transvaginal hydrolaparoscopy is useful in selecting a future treatment strategy.