Hysteroscopy is the standard procedure for uterine cavity exploration.Even though Hysterosalpingography (HSG) provides information on tubal patency or blockage is not the only method of Investigating an infertile women. Office hysteroscopy is only recommended by the WHO when clinical or complementary exams (ultrasound, HSG) suggest intrauterine abnormality or after in vitro fertilization (IVF) failure. Infertile women attending OBS & GYN OPD were evaluated by laparoscopy and simultaneous hysteroscopy under general anaesthesia. Observation of pelvic and intrauterine cavity was done. In hysteroscopy, endometrial polyp was detected in 2 (4%) cases, cervical stenosis in 2 (4%) cases and submucous fibroid in 1 (2%) cases, 3 (6%) case of septate uterus was identified. 40 (80%) patients had normal hysteroscopy findings. Inevaluation of female infertility a combined laparoscopy and simultaneous hysteroscopy provides a best approach to diagnose the causes.