Best method to evaluate the tubes as it not only proves its patency, but its gives us a clear picture about the quality & relationship with other structures like ovaries & tubes. Many times the tube may be anatomically patent but may not be functionally perfect i.e. capable of transporting the egg, sperms & the embryo formed. It also evaluates the uterus, ovaries & the pelvis, so that any other cause would be ruled out. It also has an advantage of treating the pathologies at the same sitting, so that it avoids a repeat anesthesia or surgery either laproscopy or laparotomy.

Peritoneal factor by laparoscopy

Uterine factor evaluated by HSG and hysteroscopy. Before uterine instrumentation appropriate antibiotic prophylaxis against chlamydia should be given (RCOG 1999). Here again hysterosopy gives a more accurate diagnosis as we examine the uterine cavity directly using a hysteroscope. Moreover we could also rectify or treat pathologies like sub mucus fibroid, polyps, intrauterine adhesions, septum or foreign bodies in the cavity.








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Dr. Patil’s Fertility and Endoscopy Clinic

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