I-33: Role of Hysteroscopy in the Diagnosis and Infertility Treatment

Abnormalities of the uterine cavity can be a contributing cause of subfertility, and assessment of this factor has been suggested as a routine investigation in the evaluation of subfertile women. Hysterosalpingography has been used as the most common procedure in the investigation of infertility cause. Saline infusion sonohysterography can show uterine cavity abnormalities, which is highly sensitive and specific in identifying intrauterine abnormalities. Hysteroscopy is considered as the definitive diagnostic procedure to evaluate abnormalities that have been showed on hysterosalpingography, vaginal sonography or sonohysterography during routine infertility workup. Hysteroscopic myomectomy can increase the chance of pregnancy in women with unexplained subfertility and submucousal myoma. The hysteroscopic polypectomy shown on ultrasound significantly increases the clinical pregnancy rate. Hysteroscopic septolysis or intrauterine adhesions lysis in women with unexplained subfertility might significantly increase the rate of pregnancy.