Asuman Doğan Bayrak, İlyas Turan, Hilmi Baha Oral
Southern Clinics of Istanbul Eurasia - 2025;36(4):340-346
Objective: The aim of this study was to investigate the pregnancy outcomes, either spontaneous or through assisted reproductive techniques, in patients who underwent diagnostic laparoscopy and/or operative/office hysteroscopy due to primary or secondary infertility. Methods: The study included 144 patients diagnosed with primary or secondary infertility at the University Hospital, Department of Obstetrics and Gynecology, between January 2021 and May 2024, who underwent diagnostic laparoscopy (L/S) and, according to indications, office/operative hysteroscopy (H/S) for adhesiolysis, chromotubation, cystectomy, cyst aspiration, etc., and for uterine cavity control or septum resection. For exclusion of intrauterine pathology, uterine cavity control was performed using office hysteroscopy, and findings were recorded. Surgical interventions were performed in patients with adhesions, endometriosis, ovarian cysts, or tubal pathology. Results: 76 (52.7%) patients had primary and 68 (47.2%) secondary infertility. Cyst was seen in 25% and 26.5% of primary and secondary infertile patients, respectively; septum in 27% and 26.5%; adhesion in 35.5% and 38.2%; endometriosis in 10.5% and 7.4%; and bilateral/unilateral tubal passage was seen in 94.7% of primary infertile patients and 92.6% of secondary infertile patients. beta-hCG was observed to be positive in 42 (55.3%) and 37 (54.4%) of primary and secondary infertile patients, respectively. Of the primary infertile group with positive beta-hCG, 3 (7.1%) had IUI, 12 (28.6%) had IVF , and 27 (64.3%) had spontaneous pregnancy. In both groups, higher rates of spontaneous pregnancy and cesarean delivery were observed after the operation. Conclusion: We believe that the surgical correction of commonly detected pelvic and uterine pathologies in patients undergoing simultaneous laparoscopic and hysteroscopic surgery for infertility has positively contributed to pregnancy outcomes.
