Role of Hysteroscopy in Patients with Previous In Vitro Fertilization Failure: An Institutional Experience in Rural...

Area of Science:

• Reproductive Medicine
• Minimally Invasive Gynecological Surgery

Background:

• Recurrent in vitro fertilization (IVF) failure can be linked to undiagnosed uterine pathologies.
• Standard diagnostic methods like ultrasonography and hysterosalpingography may not identify all intrauterine abnormalities.

Purpose of the Study:

• To assess hysteroscopy's utility in diagnosing uterine pathologies missed by conventional imaging in women with prior IVF failures.
• To determine if hysteroscopic correction of these pathologies enhances clinical pregnancy rates.

Main Methods:

• A prospective randomized study involving 180 women with infertility.
• 90 patients with at least one IVF failure underwent hysteroscopy; 90 served as a control group.
• Intrauterine pathologies detected during hysteroscopy were treated concurrently.

Main Results:

• Hysteroscopy identified intrauterine pathologies in approximately 40% of cases.
• Significant differences in early ultrasound findings (gestational sac, cardiac activity) were observed between groups post-intervention.
• Clinical improvement in IVF success rates was noted following hysteroscopy.

Conclusions:

• Hysteroscopy is a valuable tool for diagnosing subtle uterine pathologies in women experiencing recurrent IVF failure.
• Corrective hysteroscopic procedures can lead to improved IVF clinical pregnancy rates.
• Hysteroscopy should be considered for patients with multiple IVF failures to identify and treat occult intrauterine abnormalities.