Abstract
Objective. To study incidence of abnormal hysteroscopic findings according to age. Methods. We retrospectively studied 557 consecutive office hysteroscopies in patients referred for incapacity to conceive lasting at least 1 year or prior to in vitro fertilization. Rates of abnormal findings were reviewed according to age. Results. In 219 cases, hysteroscopy showed an abnormality and more than a third of our population had abnormal findings that could be related to infertility. Rates of abnormal findings ranged from 30% at 30 years to more than 60% after 42 years. Risk of abnormal finding was multiplied by a factor of 1.5 every 5 years. Conclusion. Our data are an additional argument to propose office hysteroscopy as part of first-line exams in infertile woman, regardless of age.
Highlights
Hysteroscopy is the gold standard procedure for uterine cavity exploration [1]
Office hysteroscopy is only recommended by the World Health Organization (WHO) when clinical or complementary exams suggest intrauterine abnormality [3] or after in vitro fertilization (IVF) failure [4]
Hysteroscopy was normal in 60.5% (337/557) and among women with abnormal results, 20% showed more than one abnormality (44/220)
Summary
To study incidence of abnormal hysteroscopic findings according to age. We retrospectively studied 557 consecutive office hysteroscopies in patients referred for incapacity to conceive lasting at least 1 year or prior to in vitro fertilization. Rates of abnormal findings were reviewed according to age. In 219 cases, hysteroscopy showed an abnormality and more than a third of our population had abnormal findings that could be related to infertility. Rates of abnormal findings ranged from 30% at 30 years to more than 60% after 42 years. Risk of abnormal finding was multiplied by a factor of 1.5 every 5 years. Our data are an additional argument to propose office hysteroscopy as part of first-line exams in infertile woman, regardless of age
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