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Summary
Hysteroscopic treatment effectively addressed intrauterine lesions in infertile women, leading to a high pregnancy success rate. Surgical interventions significantly improved reproductive outcomes for many patients.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
Background:
- Infertility affects numerous women, with intrauterine lesions being a significant contributing factor.
- Hysteroscopy offers a minimally invasive approach to diagnose and treat intrauterine pathologies.
Purpose of the Study:
- To evaluate the efficacy of hysteroscopic treatment for various intrauterine lesions in infertile women.
- To assess the reproductive outcomes following hysteroscopic interventions.
Main Methods:
- Hysteroscopic procedures were performed on 122 infertile women with diagnosed intrauterine lesions.
- Treatments included lysis of adhesions, polyp removal, myoma resection, IUD removal, and septum division.
Main Results:
- Successful restoration of a symmetric uterine cavity was achieved in 119 out of 122 patients.
- A total of 46 term pregnancies were recorded, with high success rates following adhesiolysis and polyp removal.
- Complications included 8 spontaneous abortions and 1 ectopic pregnancy.
Conclusions:
- Hysteroscopic treatment is a highly effective method for managing intrauterine lesions contributing to infertility.
- Restoration of uterine cavity symmetry through hysteroscopy significantly improves pregnancy rates.