Hysteroscopic and Laparoscopic Diagnosis and Treatment of Infertility

Infertility occurs in almost 10% of women of reproductive age; The aim of our study is to evaluate the role of both hysteroscopy and diagnostic laparoscopy in the management of this problem, as well as the positive result of such an operative approach on the example of one clinical case. A 29-year-old patient came to the Department of Perinatology of the First University Clinic of the Tbilisi State Medical University with a complaint of 5-year history of infertility. Based on the ultrasound examination, it was determined that the patient had polyps of the uterine cavity, after which an hysteroresectoscopy was planned. After excision of the polyp and hyperplastic areas of the endometrium, the conductivity of the fallopian tubes was checked through diagnostic laparoscopy, the ampullar part of the right fallopian tube was found to be thickened and the passage of contrast material was difficult, after which its conductivity was mechanically restored with the help of laparoscopic tools. After 3 months, this patient applied to our clinic with a diagnosis of pregnancy. The pregnancy proceeded without complications, at 39 weeks of pregnancy, a caesarean section was performed in the lower segment of the uterus, without complications.