Hysteroscopy in Infertility - Diagnosis and Treatment Including Falloposcopy

Abstract

Diagnostic hysteroscopy should be included routinely in the work-up of invasive examinations for infertility patients. Anyhow, one can rarely expect to find the definite underlying reason for infertility. In infertile patients about 20% of hysteroscopic examinations show some grade of intrauterine abnormalities. Congenital uterine malformations are the most frequently found disorders. In the group of patients with habitual abortions abnormalities are found much more often and can also be more often interpreted as the mainly underlying factor for the repeated abortions. Operative hysteroscopy has become the surgical method of first choice for the treatment of uterine septa, submucous myomas, polyps and synechia. After septum dissection results are excellent. Myoma removal also shows beneficial effects on fertility; nevertheless, cases are not too frequent among infertility patients. In cases of high-grade Asherman's syndrome, the prognosis after hysteroscopic surgery is still often poor.

Uterine cavity evaluation in infertile patients with transvaginal sonography, saline infusion sonography and hysteroscopy

“…Where as in the study of Hucke et al intrauterine pathologies were diagnosed in 20% of patients infertility was more common than primary infertility. 8 Most common uterine abnormality was endometrial polyp (12%). Rogerson et al recorded that endometrial polyps were common incidental findings in sonographic Majority of patients belonged to 30 -35 years (38%) of age group with lower socioeconomic status.…”

Hysterolaparoscopy in the Evaluation and Management of Female Infertility

“…Laparoscopy can reveal the presence of peritubal adhesions, periadnexal adhesions, tubal pathology and endometriosis in 35-68 % of cases even after normal HSG [1]. Diagnostic hysteroscopy is an equally important modality to detect uterine anomalies and other intrauterine pathologies [3].…”

Combined hysterolaparoscopy as an early option for initial evaluation of female infertility: a retrospective study of 135 patients

“…3 Keeping this in view, the present study was designed to assess the role of hysterolaparoscopy in comprehensive work up of infertility, which would help in planning appropriate management.…”