Abstract
A couple is generally considered infertile if they are unable to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. Hysteroscopy is a valuable diagnostic and therapeutic modality in the management of infertility. Today, it is considered the gold standard for evaluating the uterine cavity. The aim of our study is to describe hysteroscopy findings in 200 infertile females and to compare its use in primary versus secondary infertility. A hospital based prospective cross-sectional study, was conducted in the department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, from Jan 2019 to Nov 2019, which included 200 infertile females undergoing diagnostic hysteroscopy. Hysteroscopic abnormalities were noted and analysed using appropriate statistical test and if needed endometrial biopsy were send along with any operative procedure was done. Mostly no abnormality was detected on hysteroscopy in uterine cavity, internal os and endometrium in both patients of primary and secondary infertility. Most common uterine cavity abnormality in both groups was intrauterine adhesion along with congested endometrium. Most of the uterine abnormalities were treated either in the same or subsequent operating setting. Hysteroscopy is cost-effective, comprehensive and gold standard for evaluation of uterine cavity in infertility patients since it aids not only in diagnosing the pathology but also its simultaneous management.
Highlights
A couple is generally considered infertile if they are unable to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse (WHO, 1994)
Hysteroscopy is a valuable diagnostic and therapeutic modality in the management of infertility. It is considered the gold standard for evaluating the uterine cavity, and due to improved endoscopic developments, can be performed reliably and safely as an office procedure (Gordts et al, 2002)
The aim of our study is to describe hysteroscopy findings in 200 infertile females and to compare its use in primary versus secondary infertility
Summary
A couple is generally considered infertile if they are unable to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse (WHO, 1994). Advent of minimal access procedures has redefined the evaluation and treatment of infertile couple. The various forms of endoscopic procedures have been shown to demystify and redefine the bounds of infertility by producing new diagnostic evidence. One of the basic steps of infertility workup is to evaluate the shape and regularity of the uterine cavity. Hysteroscopy is a valuable diagnostic and therapeutic modality in the management of infertility. Today, it is considered the gold standard for evaluating the uterine cavity, and due to improved endoscopic developments, can be performed reliably and safely as an office procedure (Gordts et al, 2002)
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