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Minihysteroscopy as routine diagnostic procedure in women with primary infertility
Frank Nawroth1, Dolores Foth, Torsten Schmidt
1Department of Obstetrics and Gynaecology, University of Cologne, Cologne, Germany.
Study Objective:
To evaluate the importance of routine minihysteroscopy in the diagnosis of primary infertility.
Design:
Retrospective study (Canadian Task Force classification II-2).
Setting:
Endoscopic center at a university hospital.
Patients:
Three hundred seventy-nine patients with primary infertility.
Intervention:
Diagnostic minihysteroscopy without anesthesia or sedation.
Measurements And Main Results:
Hysteroscopy was normal in 337 patients (89.9%). In 38 patients (10.1%) an intrauterine pathology was found: 26 intrauterine adhesions, 12 cases of uterus subseptus. The procedure could not be completed in four women.
Conclusion:
Minihysteroscopy should become a routine diagnostic procedure in women with primary infertility, even those with no suspected intrauterine pathology or other risk factors.
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