Role of office hysteroscopy in the evaluation of infertile women after controlled ovarian stimulation/intra uterine insemination failure

Abstract

Abstract Objective To assess the role of office hysteroscopy (OH) in the evaluation of infertile women with normal HSG who fail to conceive after undergoing controlled ovarian stimulation/intrauterine insemination (COS/IUI). Design Prospective cohort study. Materials and methods The study included 141 patients with absent pelvic pathology on trans vaginal sonography and HSG and history of failed three or more trials of COS/IUI. Office hysteroscopy was then done and any detected intrauterine pathology was recorded. Results A total of 141 patients were examined by OH of which 26 patients proved to have uterine pathology, giving a false negative rate of (18.4%) of HSG. The overall agreement between HSG and OH was 81.6%. Conclusion Significant uterine pathology was proved in 18.4% infertile women in spite of normal HSG results. OH has a role in infertile women with no obvious abnormality on HSG before they proceed to more aggressive treatment.