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 Measure(s): 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.