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Updated: Sep 26, 2026
OP-IVM: Combining In vitro Maturation after Oocyte Retrieval with Gynecological Surgery
Published on: May 9, 2021
[Systematic hysteroscopy prior to in vitro fertilization]
J Féghali1, J Bakar, J M Mayenga
1Service de gynécologie-obstétrique, centre hospitalier intercommunal Jean-Rostand, 141, Grande-Rue, 92318 cedex, Sèvres, France.
Objective:
To evaluate the benefits of a diagnostic hysteroscopy prior to in vitro fertilization.
Patients And Methods:
We retrospectively studied 145 patients who underwent ICSI during a period of 6 months. Office hysteroscopy was systematically performed before the first stimulation cycle. If pathological findings were revealed, appropriate medical or surgical treatment was given.
Results:
Pathological patterns were observed in 45% of hysteroscopies. Endometritis, polyps and myomas and mucosal diseases were the most frequently observed. The patients aged over 38 years didn't show higher rate of pathology (29% vs 27% for the younger patients). The treatment of pathologies gave the same pregnancy rate than the normal cavities. Patients with endometritis were treated with antibiotics and 40% of them became pregnant in the following cycle.
Discussion And Conclusion:
Systematic hysteroscopy prior to IVF-ICSI showed to be an effective investigation that could improve the pregnancy rate.
