Office Hysteroscopy in Infertility
Authors
Abstract:
Background For patients undergoing in vitro fertilization, lower pregnancy rates are observed in the presence of uterine cavity anomalies and correction of these anomalies has been associated with improved pregnancy rates. Office hysteroscopy has been proven to have superior sensitivity and specificity in evaluation of the endometrial cavity. Diagnostic hysteroscopy can be performed in an office with minimal discomfort and at a much lower cost than in an operating room. Our study was done to evaluate the importance of office hysteroscopy in diagnosis of pathology in normal appearing infertility work up. MaterialsAndMethods This study was performed from September 1, 2006 till September 1, 2008 at Imam Khomayni hospital, Ahwaz, Iran. All infertile patients who had unexplained infertility or uterine factor infertility were enrolled in the study and underwent office hysteroscopy. The participants were divided into two groups. Group one was composed of 54 patients with unexplained infertility and group two was composed of 53 patients with abnormal vaginal sonography or hysterosalpangography. Results Of the 54 patients with unexplained infertility; 33 patients (61.2%) had normal and 21 patients (38.8%) had abnormal hysteroscopic findings. Among 53 patients in the uterine factor group, there were 7 women (13.3%) who had a normal hysteroscopy and abnormal sonography or hysterography. Conclusion In group one (unexplained infertility), there was a 38.8% positive finding in office hysteroscopy in spite of normal hysterosalpingography and sonography results. Therefore, it seems that office hysteroscopy should be a part of a routine work up in infertile patients.
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office hysteroscopy in infertility
background: for patients undergoing in vitro fertilization, lower pregnancy rates are observed in the presence of uterine cavity anomalies and correction of these anomalies has been associated with improved pregnancy rates. office hysteroscopy has been proven to have superior sensitivity and specificity in evaluation of the endometrial cavity. diagnostic hysteroscopy can be performed in an offi...
full textOffice Hysteroscopy for Infertility: A Series of 557 Consecutive Cases
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full textOffice hysteroscopy study in consecutive miscarriage patients.
OBJECTIVE To assess the prevalence of uterine anatomical abnormalities found by office diagnostic hysteroscopy in a population of patients experiencing more than two consecutive miscarriages and compare the prevalence of uterine abnormalities between patients with two miscarriages and those with three or more consecutive miscarriages. METHODS A cross-sectional study of 66 patients with two or...
full textOffice hysteroscopy study in consecutive miscarriage patients
397 Summary Objective: To assess the prevalence of uterine anatomical abnormalities found by office diagnostic hysteroscopy in a population of patients experiencing more than two consecutive miscarriages and compare the prevalence of uterine abnormalities between patients with two miscarriages and those with three or more consecutive miscarriages. Methods: A cross-sectional study of 66 patients...
full textRole of Hysteroscopy in Infertility and Assisted Reproduction
The uterus plays a major role in sperm migration, embryo implantation, and fetal development. Congenital uterine anomalies and acquired uterine lesions may affect such uterine functions precluding successful pregnancy. Despite advances in the field of assisted reproductive techniques (ART), only one-third of cycles started end in a pregnancy and one-fourth result in a live birth [1]. Intrauteri...
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Journal title
volume 3 issue 1
pages 17- 20
publication date 2009-03-01
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