Hysteroscopy in a program of in vitro fertilization (original) (raw)
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Hysteroscopy Before in Vitro Fertilization
Facta Universitatis, Series: Medicine and Biology, 2018
In the last decade, success after in vitro fertilization process (IVF) has remained at a similar rate despite all the improvements implemented in the stimulation protocols and laboratory techniques. Hysteroscopy is a method becoming more widely used with patients after a failed IVF cycle, considering a large incidence of uterus cavum pathological states which have a negative impact on the favorable outcome. Numerous studies have provided different results on the IVF outcome with hysteroscopy performed prior to this treatment in cases with no uterus cavum pathology. The aim of the research was to examine the effect of both diagnostic and surgical hysteroscopy on the outcome of IVF. Hysteroscopy was performed with 74 patients 30 to 50 days prior to IVF and in 33 of them (group I) some pathological state was noticed, which was treated during the same procedure. The control group (group III) included 151 patients who had IVF performed with no prior hysteroscopy. There is no statistical...
An overview of the results of hysterosonography prior to in vitro fertilization
JBRA assisted reproduction, 2017
This study aimed to analyze the results of hysterosonography performed prior to in vitro fertilization (IVF) and to correlate anomalous findings with hysteroscopy. Findings from 197 hysterosonograms of patients examined in an assisted reproduction clinic between January 2012 and August 2014 were included. Enrollment criteria: patients in preparation for IVF not recently submitted to uterine examination through hysterosalpingography or hysteroscopy referred to hysterosonography. Uterine cavity evaluation was considered anomalous when one or more of the following were found: polyps, submucous myomas, uterine synechiae, Müllerian duct anomalies. Individuals with cavity abnormalities that might interfere with IVF results were referred to hysteroscopy. Normal test results were seen in 170/197 of the cases (86.3%). Eighteen of the 197 cases (9.1%) were suspected for polyps, two (1%) for submucous myoma, six (3.5%) for synechiae, and one (0.5%) for Müllerian duct anomalies. Sixteen of the ...
Hysteroscopy and Assisted Reproductive Technology
World Journal of Laparoscopic Surgery with DVD, 2009
There is a growing consensus towards its use in the primary investigation of infertile women prior to in vitro Fertilization, 2,4,6 as well as in the management of hydrosalpinges in such patients, in place of laparoscopy. 7-9 In this review, an attempt is made to examine the various applications of hysteroscopy in assisted reproduction in recent published literature, with particular focus on its use in primary assessment before IVF, assessment after repeat IVF failures as well as the uses of hysteroscopic surgery in assisted reproductive technology. MATERIAL AND METHODS A literature search was conducted using Medline, Pubmed , Springer link and Highwire press. The following search terms were used: Hysteroscopy, fertility, assisted reproduction, ART, IVF. In this review, ART include any form of assisted reproduction, including IVF/ICSI and ovarian stimulation with or without artificial insemination. Abstracts had to be written in English and if the abstract was pertinent and relevant to the topic, the full article whether in English, German or French was sought. Other sources include Google using the same keywords and the websites of different organizations, such as ESHRE, IFFS, and FIGO, etc. There were 1456 citations in total. Selected publications were screened for further references.
2016
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Role of Hysteroscopy Prior to Assisted Reproductive Techniques in Patients with Previous IVF Failure
International Journal of Infertility & Fetal Medicine, 2011
Background: There have been numerous advances in the area of assisted reproduction. Among the various reasons of implantation failure, intrauterine lesions play an important role. Objective: The aim of the present study is to evaluate the role of hysteroscopy prior to any assisted reproductive technique. Materials and Methods: It is a retrospective study of 292 women who attended our infertility clinic over a period of 18 months, who had a variable number of failed IVF cycles previously. Results: Out of the 292 women studied, in 74 women, that is 25%, intrauterine pathology was detected, which when rectifi ed by hysteroscopy, gave a considerable increase in pregnancy rate. Conclusion: According to this study it can be concluded that evaluating the uterine cavity is an important step before any assisted reproductive procedures.
Role of hysteroscopy prior to assisted reproductive techniques
Journal of Gynecological Endoscopy and Surgery, 2009
Background: There have been numerous advances in the area of assisted reproduction. Among the various reasons of implantation failure, intrauterine lesions play an important role. Objective: The aim of the present study is to evaluate the role of hysteroscopy prior to any assisted reproductive technique. Materials and Methods: It is a retrospective study of 292 women who attended our infertility clinic over a period of 18 months, who had a variable number of failed IVF cycles previously. Results: Out of the 292 women studied, in 74 women, that is 25%, intrauterine pathology was detected, which when rectifi ed by hysteroscopy, gave a considerable increase in pregnancy rate. Conclusion: According to this study it can be concluded that evaluating the uterine cavity is an important step before any assisted reproductive procedures.
Routine office hysteroscopy in the investigation of infertile couples before assisted reproduction
The Journal of reproductive medicine, 2005
Objective: To evaluate the need for office hysteroscopy in routine investigations of infertile couples prior to assisted reproduction (AR). Study design: A retrospective and descriptive clinical study of all outpatients submitted to AR technique infertility investigation from January 1996 to December 2001 in a tertiary medical center. All of these patients underwent hysteroscopy. Results: Within the group of 574 patients studied, 159 (27.7%) had no clinical complaints and presented normal ultrasounds. Of these 159 patients, only 8 (5%) presented abnormalities detected through hysteroscopy, and therefore would not have been diagnosed without the latter procedure. Normal ultrasounds were seen in 498 (86.8%), 50 (8.7%) had abnormal hysteroscopies. Only 29 (5.1%) of the 50 with abnormal hysteroscopies required treatment prior to AR. No correlation was found between the two exam types (Kappa=0.305). Significant uterine cavity abnormalities were Mqllerian malformations (in 30%), endometrial polyps (in 26.4%) and intrauterine adhesions (in 16%). Conclusion: Given the impracticality of performing hysteroscopy on pre-AR patients, we suggest that diagnostic hysteroscopy be considered only for patients whose clinical complaints imply the presence of endometrial disease or whose ultrasounds are abnormal. D
Hysteroscopy: An Essential Tool in the Workup of Infertility
International Journal of Infertility & Fetal Medicine
for the success of IVF procedure in cases of recurrent implantation failure. Many physicians still regard hysteroscopy as just a supplementary test in case of abnormal findings detected by other methods (primarily HSG and ultrasound). So this study was conducted to establish the role of diagnostic hysteroscopy as a primary integral tool in the workup of infertility.
Hysteroscopy and female infertility: a fresh look to a busy corner
Human Fertility, 2020
Hysteroscopy has evolved from the traditional art of examining the uterine cavity for diagnostic purposes to an invaluable modality to concomitantly diagnose and (see and) treat a multitude of intrauterine pathologies, especially in the field and clinics specialising in female reproduction. This article reviews the literature on the most common cervical, endometrial, uterine and tubal pathologies such as chronic endometritis, endometrial polyps, adenomyosis, endometriosis, endometrial atrophy, adhesions, endometrial hyperplasia, cancer, and uterine malformations. The aim is to determine the efficiency of hysteroscopy compared with other available techniques as a diagnostic and treatment tool and its association with the success of in vitro fertilisation procedures. Although hysteroscopy requires an experienced operator for optimal results and is still an invasive procedure, it has the unique advantage of combining great diagnostic and treatment opportunities before and after ART procedures. In conclusion, hysteroscopy should be recommended as a first-line procedure in all cases with female infertility, and a special effort should be made for its implementation in the development of new high-tech procedures for identification and treatment infertility-associated conditions.