Diagnostic laparoscopy implemented during an infertility evaluation recognized eighty patients (12% of all laparoscopic investigations implemented for infertility) with hydrosalpinges. Besides these discoveries, only 25% (20) of these patients described a prior episode of PID (Pelvic Inflammatory Disease), moreover only 22.5% (18 patients) had pelvic pain complaints. As a comparison of infertility patients’ matched group with no endoscopic evidence regarding previous pelvic infection, the patients specifically with hydrosalpings were highly expected to utilize an intrauterine device and were fewer likely to utilized an oral contraceptive. Though “silent” Pelvic Inflammatory Disease is the infertility probable reason, visualization of endoscopic about reproductive organs of a female should be cogitated in the period of the infertility evaluation. Furthermore, in the account of its sinister nature, the analysis of Pelvic Inflammatory Disease must be pondered in a young sexually active patient with the complaints of gynecology.