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Pathologic findings in hysteroscopy before in vitro fertilization-embryo transfer (IVF-ET)
Nicola Doldi1, Paola Persico, Francesca Di Sebastiano
1IVF Unit, Obstetric-Gynecology Department, Vita-Salute University, H San Raffaele, Milan, Italy.
Background:
The aim of this study was to evaluate hysteroscopy routinely performed prior to in vitro fertilization-embryo transfer (IVF-ET).
Methods:
We analyzed in a prospective study 300 patients who underwent hysteroscopy before the first IVF-ET cycle. We analyzed then in a retrospective manner 300 patients who did not perform hysteroscopy.
Results:
One-hundred-and-eighty (60%) hysteroscopies were normal but 120 (40%) revealed an unsuspected intrauterine abnormality. We did not find statistically significant differences between patients with normal or abnormal hysteroscopy in any characteristic. We found a statistically significant difference in pregnancy rate between women who performed hysteroscopy before IVF-ET cycle and in women who did not perform it.
Conclusions:
Hysteroscopy, as a routine examination, should be performed before the first IVF-ET cycle in all patients.
