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Hysteroscopy in a program of in vitro fertilization
M Goldenberg1, D Bider, Z Ben-Rafael
1Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Journal of in Vitro Fertilization and Embryo Transfer : IVF
|December 1, 1991
Summary
Diagnostic hysteroscopy before in vitro fertilization (IVF) and embryo transfer (ET) can identify significant abnormalities. Routine hysteroscopy improves IVF/ET success rates by detecting previously unknown causes of infertility.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
Background:
- In vitro fertilization (IVF) and embryo transfer (ET) are advanced reproductive technologies.
- Recurrent implantation failure in IVF/ET necessitates thorough infertility evaluations.
Purpose of the Study:
- To evaluate the diagnostic yield of hysteroscopy in women with a history of at least two failed IVF/ET attempts.
- To determine the prevalence of cervical canal and intrauterine abnormalities in this patient population.
Main Methods:
- A prospective study involving 224 women undergoing hysteroscopic evaluation without anesthesia.
- Analysis of hysteroscopic findings in relation to infertility diagnoses (mechanical, unexplained, male factor).
Main Results:
- Abnormal hysteroscopic findings were observed in 19% of women overall.
- Mechanical infertility cases showed a 21% rate of abnormal findings.
- Cervical canal and intrauterine abnormalities were detected in 10 and 32 patients, respectively.
Conclusions:
- Diagnostic hysteroscopy is a valuable tool for identifying infertility causes in women with failed IVF/ET.
- Routine pre-IVF/ET hysteroscopy is recommended to optimize treatment strategies and improve success rates.
