Context: Infertility is defined as failure ofa couple to conceive for at least 1 year after regular and Unprotected intercourse. Infertility affects about 10-15% of reproductive age couples. The prevalence of infertile individuals is increasing globally. Experience has shown that routine examination and diagnostic procedures is not enough to evaluate pelvic pathology of infertile women. The present study aimed at evaluating role of diagnostic hystero-laparoscopy in primary infertility cases. Aims: To identify the incidence of various pathological condition in female reproductive tract leading to infertility and to evaluate the role of diagnostic hysterolaparoscopy in comprehensive work up of primary infertility and to help in planning appropriate management. Materials and Methods: A retrospective hospital based study was conducted among 84 cases of primary infertility that underwent diagnostic hysterolaparoscopy. Infertile women who had no significant clinical/ultrasonography findings were included in the study and incidence of various pathological conditions in the female reproductive tract leading to infertility was calculated. Results: Out of 84 study subjects, majority of infertility cases were between the age group of 21 – 30 years. We observed that 33.33% cases were reported abnormal by laparoscopy while 14.28% cases were reported abnormal by hysteroscopy. The commonest abnormalities reported in laparoscopy were tubal pathology. Conclusions: Tubal pathology accounted for the highest incidence among the laparoscopic abnormalities followed by endometriosis and ovarian pathology.

Keywords: Primary Infertility; Hysteroscopy; Laparoscopy; Tubal Pathology; Tubal Block; Endometriosis.