Accuracy of hysterosalpingography and hysteroscopy for diagnosis of intrauterine lesions in infertile patients in an assisted fertilization programme

Cunha-Filho, João Sabino; Souza, Célia Mariana Barbosa de; Salazar, Cristiano Caetano; Facin, Andrea Cintra; Freitas, Fernando Monteiro de; Passos, Eduardo Pandolfi

doi:10.1046/j.1365-2508.2001.00398.x

Cited by 16 publications

(6 citation statements)

References 17 publications

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“…Taskin et al [27] have noted 68.9% agreement between hysteroscopy and hysterosalpingography. In a study by Cunha-Filho et al [28] , the specificity and positive and negative predictive values of hysterosalpingography were 41.14, 47 and 70.6%, respectively. Grimbizis et al [29] studied the accuracy of transvaginal ultrasound.…”

Section: Discussionmentioning

confidence: 91%

The Value of Routine Hysteroscopy before the First Intracytoplasmic Sperm Injection Treatment Cycle

Alleyassin

Abiri

Aghahosseini

et al. 2016

Gynecol Obstet Invest

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Background/Aims: To assess uterine cavity with office hysteroscopy in order to diagnose and treat pathologies in patients who have started their first intracytoplasmic sperm injection (ICSI) cycles and evaluate its impact on pregnancy rate. Methods: A number of 220 infertile women scheduled for ICSI participated in this prospective randomized study. They were randomly divided into 2 equal groups. Group I (intervention) underwent office hysteroscopy before starting assisted reproductive techniques (ART) cycle. Group II (control) started ART cycles without office hysteroscopy. All women had normal transvaginal ultrasonography and hysterosalpingography. The detected intrauterine abnormalities were treated during hysteroscopy. Four weeks after embryo transfer, ultrasonography was done for detecting clinical pregnancy. Results: Abnormal findings were seen in hysteroscopy in 22.7% of the intervention group. The pregnancy rate in the intervention group (48.20%) was significantly higher than that in the control group (38.60%; p = 0.004). Conclusion: Routine office hysteroscopy before ICSI cycles provides direct evaluation of uterine cavity. Also, pregnancy rate improves after correction of endometrial cavity abnormalities.

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Section: Discussionmentioning

confidence: 91%

The Value of Routine Hysteroscopy before the First Intracytoplasmic Sperm Injection Treatment Cycle

Alleyassin

Abiri

Aghahosseini

et al. 2016

Gynecol Obstet Invest

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“…A slightly higher LBR was noted in the oHS group without reaching statistical significance. In routine practice, TVS and HSG are the main tools to document the uterine texture prior to ART; however, the diagnostic accuracies of these are quite low with limited sensitivities and specificities (11)(12)(13)(14). Diagnostic limitation is likely to be more prominent in those with a history of RIF, as the frequency of unrecognized pathologies may be up to 50% (2,15).…”

Section: Discussionmentioning

confidence: 99%

Impact of office hysteroscopy in repeated implantation failure: Experience of a single center

Pabuçcu¹,

Yalçın²,

Bodur³

et al. 2016

J Turkish German Gynecol Assoc

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Objective: Repeated implantation failure (RIF) is a clinical entity affecting many couples undergoing assisted reproductive technology (ART).Various intrauterine pathologies contribute to RIF. Nevertheless, vaginal sonography and hysterosalpingography, which are the common diagnostic tools for the initial follow-up, have limited sensitivities. In this context, we aimed to evaluate the impact of office hysteroscopy (oHS) on live birth rates (LBRs) when performed prior to subsequent ART cycles in women with a history of RIF. Material and Methods:The database of an assisted reproduction center was retrospectively reviewed to detect eligible cases. A total of 363 women out of 2875 admissions were consecutively included in the analysis, of which 119 formed the oHS group and 244 formed the non-oHS group prior to a new ART cycle. Women in the oHS arm were examined during their early follicular phase via a vaginoscopic approach 1-6 months before the beginning of a new cycle. The standard in-vitro fertilization-intracytoplasmic sperm injection (IVF/ICSI) cycle was applied to all the women. Results:In the oHS group (n=119), 61 patients had intrauterine abnormalities, with an overall abnormality rate of 51.2%. Implantation, pregnancy, and LBRs of the groups were statistically similar. LBRs of the women with abnormal oHS findings (15/61, 24.5%), with normal oHS findings (14/58, 24.1%), and without oHS (39/244, 16%) were statistically similar (p=0.41). Conclusion:Unrecognized intrauterine pathologies can be easily detected and concurrently treated during oHS with high success rate. However, a beneficial impact depends on the extent of the pathology and thus, routine application to enhance reproductive outcomes is still not warranted. (J Turk Ger Gynecol Assoc 2016; 17: 197-200) Keywords: Endometrium, in-vitro AbstractSubjects who underwent the procedure formed the oHS group, whereas the remaining subjects formed the non-oHS group. All included patients were between 18 and 40 years of age and had follicle-stimulating hormone (FSH) levels of <15 IU/mL. The exclusion critertia were 1) poor ovarian response according to the Bologna criteria (8) or women with premature ovarian failure; 2) male subjects with severe oligozoospermia, oligoasthenozoospermia, or azoospermia; 3) preimplantation genetic screening and cryopreserved/thawed embryo transfer cycles; 4) women with confirmed endometriosis; 5) women with hypothalamic amenorrhea; and 6) women who underwent oHS more than 6 months prior to a new cycle.Office hysteroscopy procedure All patients were examined during their early follicular phase, 1-6 months before the start of a new ART cycle, via the vaginoscopic approach as previously described (9). No routine preoperative analgesia, antibiotics, sedation, or cervical preparation was used. Briefly, a rigid hysteroscope (continuous flow; 30° forward oblique view) with an outer diameter of 4 mm using 0.9% normal saline was used. Following adequate distension of the uterine cavity, systematic inspection was performed. Standard g...

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“…Although this method is feasible and highly sensitive and specific when used for detection of endometrial abnormalities (97.3% and 95.8%, respectively), SIS, like HSG, does not provide a possibility for management of the abnormalities of the uterine cavity ( 6 ). Hysteroscopy is a more powerful technique to evaluate the uterine cavity and apply treatment simultaneously ( 7 , 8 ). This makes hysteroscopy the most useful test for assessing the uterine cavity.…”

Section: Introductionmentioning

confidence: 99%

The effect of diagnostic hysteroscopy performed before fresh and frozen-thawed embryo transfer in IVF cycles on reproductive outcomes

Eserol¹,

Çelik²,

Aytan³

et al. 2021

J Turkish German Gynecol Assoc

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Objective: Hysteroscopy is frequently performed in infertile women and thought to improve pregnancy rates. The data obtained from studies investigating the effect of hysteroscopy in in-vitro fertilization (IVF) cycles is variable. We aimed to evaluate the effect of hysteroscopy on pregnancy outcomes of fresh and frozen-thawed embryo transfers (FET) performed during IVF cycles. Material and Methods: The data of the 765 patients, who had IVF treatment between January 2015 and July 2017 in an infertility center, were retrospectively analyzed. Of those, 586 (76.6%) patients underwent fresh embryo transfer, while 179 (23.4%) patients underwent FET. Hysteroscopy performed by a single experienced surgeon was scheduled two months before transfer. Hysteroscopy was performed in 101/586 (17.2%) in those undergoing fresh embryo transfer and 44/179 (24.6%) patients in the FET group. Pregnancy outcomes of the groups were compared respectively within their own group. Results: The mean age was similar in patients in the fresh and FET groups (p=0.365, respectively). There was no difference in the number of transferred embryos between the groups (p=0.218). In the fresh embryo group there were 246 pregnancies, of which 44 had undergone diagnostic hysteroscopy while 202 had not, (p=0.516) and 79 pregnancies in the FET group, of which 20 had undergone diagnostic hysteroscopy while 59 had not (p=0.711). There was no statistical difference according to pregnancy rate between the groups (p=0.538). Conclusion: Performing diagnostic hysteroscopy before fresh or FET does not improve the pregnancy rates.

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Accuracy of hysterosalpingography and hysteroscopy for diagnosis of intrauterine lesions in infertile patients in an assisted fertilization programme

Cited by 16 publications

References 17 publications

The Value of Routine Hysteroscopy before the First Intracytoplasmic Sperm Injection Treatment Cycle

The Value of Routine Hysteroscopy before the First Intracytoplasmic Sperm Injection Treatment Cycle

Impact of office hysteroscopy in repeated implantation failure: Experience of a single center

The effect of diagnostic hysteroscopy performed before fresh and frozen-thawed embryo transfer in IVF cycles on reproductive outcomes

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