An infeile women has bilateral tubal block at comua diagnosed on hysterosalpingography. Next step in treatment is:: (A) IVF, (B) Laparoscopy and hysteroscopy, (C) Tuboplasty, (D) Hydrotubation
Answer is B. Shaw's textbook of Gynaecology- 16th edn- pg no 253. A hysteroscopy must be combined with laparoscopy for cornual pathology. Mucus plug, polyps and synechiae can be managed. Dense adhesions can not be dealt with this way.