[Hysteroscopic evaluation in patients with infertility]

Area of Science:

• Reproductive Medicine
• Gynecologic Surgery
• Diagnostic Imaging

Context:

• Infertility affects a significant portion of the reproductive-age population.
• Hysteroscopy is a key diagnostic tool for evaluating the uterine cavity.
• Understanding hysteroscopic findings is crucial for managing infertile patients.

Purpose:

• To detail the hysteroscopy findings in a large cohort of infertile patients.
• To identify the prevalence of various intrauterine pathologies.
• To correlate hysteroscopy results with infertility diagnoses.

Summary:

• A retrospective analysis of 957 infertile patients undergoing hysteroscopy revealed abnormal findings in 54.2%.
• Intrauterine synechiae (adhesions) were the most frequent abnormality (19.4%), followed by endometrial polyps (12.1%).
• A normal uterine cavity was observed in 45.8% of cases, particularly in primary infertility.

Impact:

• Highlights intrauterine synechiae as a significant, treatable cause of infertility.
• Supports the routine use of hysteroscopy in infertile patients, especially those with a history of abortion.
• Provides epidemiological data on hysteroscopy findings in infertility, aiding clinical decision-making.