June 01, 2026

Diagnostic Hysterolaparoscopy: An Important Test in Infertility Treatment by Dr. Sonali Agrawal

Infertility is becoming a common concern among many couples today. In several cases, couples may appear healthy, routine reports may look normal, and still pregnancy does not happen naturally. According to Dr. Sonali Agrawal, one important test that helps identify hidden causes of infertility is Diagnostic Hysterolaparoscopy (DHL).

Dr. Sonali Agrawal explains that the name itself describes the procedure. “Hystero” refers to the uterus, while “Laparo” refers to the abdomen. Through this procedure, doctors examine both the inner and outer reproductive organs in detail. This includes the uterus, fallopian tubes, ovaries, and surrounding pelvic structures.

The main purpose of Diagnostic Hysterolaparoscopy is to understand why pregnancy is not occurring. Just like blood tests help diagnose anemia or infection, DHL helps doctors identify fertility-related problems that may not be visible in routine scans or reports.

During the procedure, a very fine 2.9 mm hysteroscope is inserted inside the uterus to examine the uterine cavity and lining. Through this, doctors can identify problems such as adhesions, polyps, infections, or any abnormality that may interfere with pregnancy.

After this, a laparoscopic camera is inserted through the navel area to examine the outer reproductive organs. This helps doctors observe the condition of the uterus, ovaries, and fallopian tubes. It also helps detect problems such as endometriosis, adhesions, infections, or hydrosalpinx, which refers to fluid accumulation inside the fallopian tubes.

Dr. Sonali Agrawal explains that pregnancy depends on several natural processes happening properly together. An egg develops in the ovary, gets released, travels through the fallopian tube, fertilization occurs, and finally the embryo implants inside the uterus. If any part of this process is disturbed, pregnancy may not occur.

In many women, semen analysis of the husband may be normal, yet pregnancy still does not happen. In such cases, Diagnostic Hysterolaparoscopy becomes very useful because it helps identify hidden reproductive problems.

Another important benefit of DHL is that it helps doctors plan treatment more accurately. Once the exact cause of infertility becomes clear, proper treatment can begin.

According to Dr. Sonali Agrawal, Diagnostic Hysterolaparoscopy plays an important role in infertility evaluation and helps doctors understand the real reason behind difficulty in conceiving.

Agrawal Hospital & Research Institute

Agrawal Hospital & Research Institute, Gwalior, MP

0751-2423700 / 02 | +91 8815314657

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