İnfentil hastalarda diagnostik histeroskopinin rutin kullanımı

Abstract

Routine use of diagnostic hysteroscopy in infertile patients Objective: We examined the place of hysteroscopy in investigation ofbasic infertility. Material and Methods: To invastigate the uterine cavity, 53 primary infertile and 28 secondary infertile patients were evaluated by Endoscopic Surgery Clinic, which were referred from Assisted Reproductive Technics Unit and infertility polyclinic. We planned diagnostic hysteroscopy to 30 of 53 primary infertile patients because of abnormal hysterosalpingography findings, to 23 of 53 primary infertile patients as a part of infertility investigation and to all secondary infertile patients because of abnormal hysterosalpingography findings. Endometrial polyp, submucous myoma and intrauterine adhesions were inserted in acquired pathologies, mullerian abnormalities were inserted in congenital pathologies. Results: Diagnostic hysteroscopy was applied to 81 infertile patients. We met abnormal hysteroscopic findings in 29 (%54.7) primary infertile patients and in 16 (%57.1) secondary infertile patients. There was no determined statistically significant difference between primary and secondary infertile groups for abnormal hysteroscopy finding(p>0.05). The rate of abnormalities in primary infertile group were 11 endometrialpolyp, 3 submucous myoma, 4 intrauterine adhesions, 5 septate uterus,1 uterus didelphys, 1 bicornuate uterus, 1 unicornuate uterus, 2 arcuate uterus and 1 rudimenter horn-septate vagina. In secondary infertile group 8 endometrial polyp, 2 intrauterine adhesion, 3 septate uterus, 2 bicornuate uterus and 1 arcuate uterus were detected. Conclusion: Routine diagnostic hysteroscopy should bepart ofan infertility workup in infertile patients.