Uterine evaluation by microhysteroscopy in IVF candidates

Area of Science:

• Reproductive Medicine
• Gynecological Surgery

Background:

• Uterocervical pathology can impact in-vitro fertilization (IVF) success rates.
• Accurate diagnosis of uterine and cervical conditions is crucial for IVF candidate selection.

Purpose of the Study:

• To evaluate the utility of microhysteroscopy in selecting candidates for IVF.
• To assess the diagnostic accuracy of microhysteroscopy compared to hysterography.
• To determine the impact of microhysteroscopy on IVF program admission and pregnancy outcomes.

Main Methods:

• Microhysteroscopy was performed on 180 women undergoing IVF evaluation.
• Comparison of microhysteroscopy findings with hysterography results.
• Tracking of patient admission, treatment, and pregnancy rates.

Main Results:

• Microhysteroscopy identified abnormalities in 60.8% of suspected cases and 21.8% of non-suspected cases.
• It corrected false positive and false negative hysterography results, achieving a 63.9% confirmation rate.
• 84.4% of candidates were ultimately admitted to the IVF program after microhysteroscopic assessment and treatment.
• Term pregnancy rates were comparable between women with initially normal and those treated for abnormalities.

Conclusions:

• Microhysteroscopy is a valuable tool for selecting IVF candidates by accurately diagnosing utero-cervical pathology.
• The procedure aids in surgical correction and facilitates embryo transfer, improving IVF outcomes.
• Routine microhysteroscopy is recommended for all IVF candidates.