Is hysteroscopy justified in infertile women?

Abstract

This retrospective study aimed to assess the value of Hysteroscopy (HS) in studying the rate and types of abnormalities found in uterine cavity during evaluation of infertile patients in comparison to hysterosalpingography (HSG). Subject and Methods: this study included 149 infertile women underwent HS for primary & secondary infertility, recurrent abortions and failed IVF cycles at Department of Obstetrics & Gynecology at Zliten teaching Hospital, Misurata center for Diagnosis and treatment of Infertility . Preoperative assessment: history, pelvis evaluation with necessary investigations including ultrasound and HSG. Data were analysed in terms of type & rate of abnormality found, their relation with age and type of infertility including correlation between HSG and HS findings. Results: Abnormalities of uterine cavity were detected in more than half of the patients studied (59%), significantly more at ages of 31-42 years (58.3%) when compared with ages of 20-30 years (34.6%),(P<0.05). Endometrial polyps (20.4%), septate and subseptate uterus (17.2%). Submucous myomas, cornual polyps and intrauterine adhesions were seen at same rate (6%),. Most of the pathologies were seen in primary infertility patients except the intrauterine adhesions which exclusively found in those with secondary infertility.