Hysteroscopy Before in Vitro Fertilization (original) (raw)
Related papers
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.
Hysteroscopy in a program of in vitro fertilization
Journal of Assisted Reproduction and Genetics, 1991
Two hundred twenty-four women underwent hysteroscopic evaluation without anesthesia after at least two failed attempts of in vitro fertilization and embryo transfer. One hundred fifty-three (68%) women were diagnosed as having mechanical infertility, and abnormal hysteroscopic findings were observed in 32 (21%). Forty-one women were diagnosed as having unexplained infer-tility (18%) and six (15%) had abnormal findings with hysteroscopy. Of
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.
Annals of Medical Research, 2022
Aim: To evaluate the hysteroscopy results performed before IVF treatment and its pathological findings that may affect pregnancy outcomes in patients undergoing the first IVF cycle. Materials and Methods: This descriptive study was carried out retrospectively at Gazi University Hospital and a private IVF Clinic between January 2016 and December 2021. A total of 458 patients who had hysteroscopy procedures prior to the planned IVF cycle were analyzed. Appropriate surgery was performed simultaneously during hysteroscopy in patients with uterine cavity abnormalities. Outcome measures were the frequency of uterine abnormalities detected during the hysteroscopy and confirmation of these abnormalities with their pathological findings. Results: Unexplained infertility was the most frequent infertility etiology among patients (50.9%). The most finding abnormality was endometrial polyp detected in 45.2% of patients during hysteroscopy. The second frequent abnormal finding was intrauterine adhesion, with a ratio of 15.9% of patients. The uterine cavity was seen as normal in 9.6% of patients during the hysteroscopy procedure. Endometrial sampling was performed in 75.5% of patients. The most common pathological result was endometrial polyp that was consistent with hysteroscopy findings (44.3%). Only 20.8% of patients had normal findings after pathological examination on the endometrial tissue samples. Conclusion: Evaluating the uterine cavity before the IVF cycle is necessary to reach successful outcomes. Undetected intrauterine lesions are frequently observed during hysteroscopy in asymptomatic patients previously examined by conventional methods. Hysteroscopy may be a reasonable approach to assess and restore the uterine cavity in patients undergoing the first IVF cycle.
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 ...
Evaluation of Hysteroscopy in Infertile Patients
European Archives of Medical Research
The aim of this study was to evaluate the hysteroscopy results in infertile patients and to compare the clinical pregnancy, live birth and abortion rates between patients with uterine cavity abnormalities treated with operative hysteroscopy and patients with normal uterine cavity. Methods: Three hundred and nineteen patients who underwent hysteroscopy for infertility between January 2010 and December 2015 were included in the study. The patients were divided into two main groups: diagnostic and operative. The patients who had normal uterine cavity in exploration and who did not require surgical intervention were referred as diagnostic hysteroscopy group. Patients who underwent surgical intervention during the procedure were named as operative hysteroscopy group. The operative hysteroscopy group was divided into groups as endometrial polyp, submucous myoma, septum, adhesions and T-shaped uterus. Demographic data, laboratory parameters and pregnancy outcomes after hysteroscopy were recorded. Clinical pregnancy, live birth and abortion rates were compared between the groups. Results: The demographic and laboratory characteristics of the diagnostic (n=74) and operative hysteroscopy (n=245) groups were similar. After operative hysteroscopy, 53.9% of the patients had clinical pregnancy and 41.3% of them had live birth. In the diagnostic hysteroscopy group, the clinical pregnancy rate was 55.2% and the live birth rate was 41.7%. There was no significant difference between the two groups in terms of clinical pregnancy and live birth rates. In addition, there was no difference between the two groups in terms of pregnancy acquisition methods and mean duration of conception. In the operative hysteroscopy subgroups, the highest rates of clinical pregnancy and live birth were in patients undergoing endometrial polyp and septum resection, and abortion rates were highest in T-shaped uterus and septum resection groups. Conclusion: We concluded that treatment of uterine cavity pathologies with operative hysteroscopy in infertile patients provided similar clinical pregnancy and live birth rates to patients who have normal uterine cavity.
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.
Is hysteroscopy of value for women with previous IVF failure
Evidence Based Womenʼs Health Journal, 2014
The aim of this study was to evaluate the value of hysteroscopy in women with a history of previous IVF failures. Design The study was a randomized controlled trial. Participants and methods In all, 100 women with previous IVF failure were randomized into group I (n = 50) without hysteroscopic evaluation before ovarian stimulation for intracytoplasmic sperm injection treatment and group II (n = 50) who had hysteroscopy. All underwent a repeated IVF cycle. Results Of the 50 patients of infertility with a history of previous failed intracytoplasmic sperm injection undergoing hysteroscopy, 32 (64%) showed normal findings and 18 (36%) showed abnormal findings. A significant difference was found in the clinical pregnancy rates between patients in both groups (Po0.05). Conclusion Hysteroscopy should be performed in every woman with previous IVF failure.
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.
Use of previous office hysteroscopy in IVF
International Congress Series, 2004
Introduction: Infertility related to the uterine cavity is the etiologic factor most commonly found in the 10% to 15% of the cases. Hysterosalpingography (HSG) is the routine evaluation technique of the uterine cavity to determinate congenital or acquired alterations; normally when we suspect uterine pathology by HSG we proceed to do a hysteroscopy. Previous reports in the existing literature have described that a routine office hysteroscopy in patients designated to IVF demonstrate 19% of uterine anomalies, which were not detected by HSG. Objective: Evaluation of diagnostic sensibility and tolerability of the office hysteroscopy without anesthesia in patients programmed for IVF with normal HSG. Design: Prospective and observational study. Materials and methods: We included 40 infertile patients programmed for IVF from December 02 to December 03. In all of them we made an office hysteroscopy with a 3 mm Bettocchi set. We did not use any kind of anesthesia. Results: In nine cases (22.5%), we found uterine anomalies, which were not diagnosticated by HSG; suggestive lesions of adenomyosis (two cases), endometrial polyps plus Asherman syndrome (one case), uterine septums (two cases), submucosus myoma (two cases), endometrial polyps (three cases). All the procedures were well tolerated. Conclusion: In conclusion, due to our findings, we assert the justification of a routine office hysteroscopy in patients before their IVF cycle.