Hydrolaparoscopy

PCOS is characterized by presence of the hyperandrogenism, oligo- or anovulation. It is one of the most common reproductive endocrine disorders in the adolescent women. Females with PCOS present with a dysregulation in the menstrual cycle, hirsutism, anovulation, acne, and obesity. An approximately 5-10% of women in Poland suffer from PCOS and 10-15% of them are infertile. In this group to induce ovulation the patients have to undergo up to 6 cycles of ovarian stimulation with the clomiphene citrate or gonadotropin. THL can be performed in the conjunction with chromopertubation, salpingoscopy, microsalpingoscopy, and hysteroscopy. Watrelot et al. introduced the term “fertiloscopy” for the combination of these procedures. This procedure appears to be an effective and minimally invasive method for induction of the ovulation in women with PCOS. It can be used to evaluate the posterior uterus, pelvic sidewalls, and adnexae. THL has the advantage over Hysterosalpingography (HSG) because it allows for direct visualization of the tubal mucosa in addition to determining tubal patency. This method does not require an abdominal incision and can be undertaken as a day case procedure under local anesthesia. (Wojciech Pieta, Hydrolaparoscopy - as an Alternative Method after a Failure of the Pharmacological Therapy for PCOS Induced Infertility)

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Last date updated on January, 2025