Hysteroscopy as a Primary Tool in Exploration and Treatment of Infertility: Single Center Experience in Western Romania

Cîtu, Cosmin; Gorun, Florin; Motoc, Andrei Gheorghe Marius; Sas, Ioan; Gorun, Oana Maria; Burlea, Bogdan; Șerban, Denis Mihai; Neamtu, Radu; Citu, Ioana Mihaela

doi:10.3390/diagnostics11101917

Cited by 6 publications

(9 citation statements)

References 19 publications

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“…When comparing the relationship of findings in hysteroscopy, no statistically significant difference was found in the presence or absence of pathology, with the type of infertility (Table 2). 12,[14][15][16] The average time of infertility was 5.7±3.2 years; these results are comparable to those of other studies in Turkey, by Eskalen (4.5 years), but different from those reported by Farag: 7.6 years and by Ali: 2.8 years, in their researches on Egyptian women. 9,15,17 In our analysis, primary infertility had a frequency of 79.1% and secondary infertility 20.9%, similar to data by several authors, where primary infertility was also more prevalent than secondary: Koskas (73.4% vs. 26.6%), El Huseiny (63.4% vs 36.5%), Farag (88% vs 12%), Citu (67.7% vs 32.3%), Ali (70% vs. 30%); unlike from the Pansky data, whose frequency of both types of infertility was similar (48% vs. 52%) and also different to that reported by Emeka, in whose study population in Nigerian women, secondary infertility was more frequent (20% vs. 80%).…”

Section: Treatment Of Lesionssupporting

confidence: 73%

“…9,10 The prevalence of abnormal findings in the uterine cavity diagnosed by hysteroscopy in infertile women is reported between 19 to 62%. [11][12][13] The aim of our study was to describe hysteroscopic findings, the frequency of alterations in the uterine cavity and the type of instrument used for treatment of structural lesions in a group of Mexican infertile women; and secondarily to compare the relationship of the positive findings in hysteroscopy with the type of infertility (primary and secondary).…”

Section: Introductionmentioning

confidence: 99%

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Hysteroscopic findings and intrauterine pathology treatment in Mexican infertile women

Salazar-Jiménez,

Crespo-Zhindón,

Pedraza-González

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Hysteroscopy is a minimally invasive approach in gynecologic surgery and one of the main procedures performed on women undergoing fertility treatments. Intrauterine pathology negatively affects fertility by decreasing endometrial receptivity and embryo implantation success, and its prevalence has been reported between 19% and 62%. The aim of our study was to describe the hysteroscopic findings, prevalence of intrauterine pathology, the instruments used for the treatment of structural lesions in Mexican infertile women; and to compare the relationship of positive findings with the type of infertility. Methods: This was a descriptive, cross-sectional study conducted at fertility clinic at a private hospital. Results: We evaluated 191 hysteroscopies; the mean age of women was 35.5+3.2 years and the mean time of infertility 5.7+3.2 years. Primary infertility was the most prevalent (79.1%). In 118 cases (61.8%), uterine cavity abnormalities were diagnosed, the most frequent findings were: polyps (n=51, 26.7%), endometritis (n=30, 15.7%), fibroids (n=15, 7.6 %), synechiae (n=12, 6.5%), and müllerian anomalies (n=10, 5.3%). For structural pathology treatment, cold scissors and bipolar energy were used in 65.5% and 34.5%, respectively. Conclusions: Overall intrauterine pathology prevalence in our study population was 61.8%. Cold scissors and bipolar energy were used for structural lesions treatment. When comparing the relationship of hysteroscopic findings, no statistically significant difference was found in the presence of positive findings, with the type of infertility.

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Section: Treatment Of Lesionssupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Hysteroscopic findings and intrauterine pathology treatment in Mexican infertile women

Salazar-Jiménez,

Crespo-Zhindón,

Pedraza-González

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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“…The COVID-19 pandemic's detrimental impacts on maternal and perinatal health are not confined to the disease's direct morbidity and death. We expect that Romanian pregnant women who are left behind for prenatal monitoring and treatment as a result of the COVID-19 pandemic's limitations [15][16][17][18] would have worse pregnancy outcomes, as it was recently demonstrated in a global analysis concluding that maternal and fetal outcomes have deteriorated as a result of the COVID-19 pandemic, with an increase in maternal deaths, stillbirths, and maternal depression [19][20][21][22]. As growing concerns during the pandemic affect medical workers and mothers, we believe that anemia during pregnancy can be easily overlooked in these times, as much as it is still an understudied topic in correlation with COVID-19.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Nutritional Supplementation for Iron Deficiency Anemia on Pregnancies Associated with SARS-CoV-2 Infection

et al. 2022

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Anemia is a very common occurrence during pregnancy, with important variations during each trimester. Anemia was also considered as a risk factor for severity and negative outcomes in patients with SARS-CoV-2 infection. As the COVID-19 pandemic poses a significant threat for pregnant women in terms of infection risk and access to care, we developed a study to determine the impact of nutritional supplementation for iron deficiency anemia in correlation with the status of SARS-CoV-2 infection. In a case-control design, we identified 446 pregnancies that matched our inclusion criteria from the hospital database. The cases and controls were stratified by SARS-CoV-2 infection history to observe the association between exposure and outcomes in both the mother and the newborn. A total of 95 pregnant women were diagnosed with COVID-19, having a significantly higher proportion of iron deficiency anemia. Low birth weight, prematurity, and lower APGAR scores were statistically more often occurring in the COVID-19 group. Birth weight showed a wide variation by nutritional supplementation during pregnancy. A daily combination of iron and folate was the optimal choice to normalize the weight at birth. The complete blood count and laboratory studies for iron deficiency showed significantly decreased levels in association with SARS-CoV-2 exposure. Puerperal infection, emergency c-section, and small for gestational age were strongly associated with anemia in patients with COVID-19. It is imperative to screen for iron and folate deficiency in pregnancies at risk for complications, and it is recommended to supplement the nutritional intake of these two to promote the normal development and growth of the newborn and avoid multiple complications during pregnancy in the COVID-19 pandemic setting.

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“…Citu et al 16 In a review of published case series, 47 percent of infertile patients became pregnant after hysteroscopy polypectomy, compared to 42 percent of infertile patients with normal endometrial cavities. Shokeir et al 17 suggested that women who can't get pregnant should always get a diagnostic hysteroscopy.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of hysteroscopic surgery for intrauterine lesions on pregnancy rates in patients with primary infertility

Zakaria¹,

Mostafa²,

Nasreldeen³

2022

ijhs

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Background: Infertility is an important part of reproductive health that has a big impact on society. The use of hysteroscopy in routine gynaecological practise was a real revolution in diagnosing and treating intrauterine disease, which had a big impact on how these diseases were treated and how they were dealt with. Objective: To find out how well therapeutic intervention through operative hysteroscopy works in increasing the number of pregnancy rate in women with primary infertility with diagnosed intrauterine lesions. Patients and methods: In the current study, fifty patients, who have been met the requirements of the inclusion and exclusion criteria participated prospectively in this study to evaluate the impact of detected and treated uterine and cervical abnormalities on the pregnancy rate and reproductive outcome. They underwent operative hysteroscopy for resection of submucous myoma, polypectomy or resection of intrauterine septum during the follicular phase of their cycles. Results: After operative hysteroscopy the reproductive outcome was 29 out of 50 patients (58%) achieved pregnancy. Of those, 26 women (52%) had singleton pregnancies while 3 women (6%) had twin pregnancies.

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Hysteroscopy as a Primary Tool in Exploration and Treatment of Infertility: Single Center Experience in Western Romania

Cited by 6 publications

References 19 publications

Hysteroscopic findings and intrauterine pathology treatment in Mexican infertile women

Hysteroscopic findings and intrauterine pathology treatment in Mexican infertile women

The Influence of Nutritional Supplementation for Iron Deficiency Anemia on Pregnancies Associated with SARS-CoV-2 Infection

Effectiveness of hysteroscopic surgery for intrauterine lesions on pregnancy rates in patients with primary infertility

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