Role of hysteroscopy in infertile women

The diagnostic accuracy and therapeutic value of hysteroscopy were evaluated in 32 infertile women aged 21-35 years who underwent the procedure as part of their infertility evaluation. In 19 cases (59.4%) visually recognisable abnormalities were detected on hysteroscopy. These included intra-uterine adhesion (25%), submucous fibroid (9.4%), endometrial atrophy (9.4%), uterine septum (6.1%) and muellerian fusion defect (6.1%). The results of hysterosalpingography corresponded with hysteroscopy in 56.2% cases with a false positive of 30.7% for hysterosalpingography over hysteroscopy, and a false negative of 52.6%. Adhesion, fibroid and uterine septum accurately diagnosed were treated under hysteroscopic visualisation in the same sitting.