The Usefullness of Office Hysteroscopy in Evaluation of Infertil Women Prior to In Vitro Fertilization Cycles

Yılmaz, Nafiye; İnal, Zeynep Öztürk; Hancerliogullari, Necati; İnal, Hasan Ali

doi:10.5336/gynobstet.2015-46977

Cited by 2 publications

(3 citation statements)

References 11 publications

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“…Endometrial sampling is recommended for patients under 35 years of age with ovulatory bleeding or for patients above 35 years of age with abnormal bleeding [1,2]. Endometrial sampling, which is widely used for the diagnosis and treatment of endometrial pathologies, is performed using dilation curettage (D/C), aspiration (office biopsy), and hysteroscopy methods [3]. Use of D/C, which was first described by Recaimer in 1843 and was widely used, is now used less commonly due to its requirement of anesthesia, high morbidity, perforation risk, and high cost [1,3].…”

Section: Introductionmentioning

confidence: 99%

“…D/C and office biopsy methods enable the complete evaluation of the endometrium as only one-third of the endometrium can be evaluated with these methods [5]. Hysteroscopy is accepted as the gold standard for evaluating endometrial pathologies as the endometrial cavity may be directly observed with hysteroscopy, which also enables concurrent treatment [3,6]. Recent studies report that routine endometrial sampling is controversial as they are associated with high costly, high morbidity, and anxiety in patients [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Endometrial sampling, which is widely used for the diagnosis and treatment of endometrial pathologies, is performed using dilation curettage (D/C), aspiration (office biopsy), and hysteroscopy methods [3]. Use of D/C, which was first described by Recaimer in 1843 and was widely used, is now used less commonly due to its requirement of anesthesia, high morbidity, perforation risk, and high cost [1,3]. Currently, sampling methods such as Pipelle, which is easier, inexpensive, and can be used under office conditions are preferred [4].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Endometrial Sampling and Histopathological Results: Analysis of 4,247 Cases

İnal¹,

İnal²,

Küçükosmanoğlu³

et al. 2017

Eurasian J Med

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Objective: This study aimed to investigate the relationship between indications and histopathological results in patients undergoing endometrial sampling.Materials and Methods: Data of 4,247 patients undergoing endometrial sampling due to non-obstetric gynecological causes between January 2010 and October 2016 were retrospectively evaluated using the archives of the Gynecology and Obstetrics Clinic of Konya Training and Research Hospital. Results:The mean age of patients was 46.8 ± 8.22 years; the most common indication was menometrorrhagia/menorrhagia (70.66%), and the least common indication was cervical polyp (1.34%). The most common histopathological result was proliferative-secretory endometrium (63.62%); simple hyperplasia with atypia (0.56%) was determined to be the least common result. Endometrial cancer was observed more frequently in the post-menopausal bleeding and increased endometrial thickness group (23.11%). Of patients in whom biopsy was performed, 52.18% had undergone hysterectomy, as a result of which proliferative-secretory endometrium was most commonly (59.52%) and simple hyperplasia with atypia least commonly found as the histopathological diagnosis.Conclusion: Although sampling should be performed following endometrial evaluation in patients with postmenopausal bleeding or increased endometrial thickness, according to the results of our study, routine endometrial biopsy should not be preferred in the other indications. Bulgular: Olguların yaş ortalaması 46,8+8,22 olup en sık endikasyon menometroraji-menoraji (%70,66) iken en az servikal polip (%1,34) idi. Endometriyal biyopsi sonucu proliferatif-sekretuar endometriyum (%63,62) en sık atipili basit hiperplazi (%1,13) en az histopatolojik sonuç olarak tespit edildi. Endometriyum kanseri postmenaposal kanama ya da endometriyal kalınlık grubunda daha fazla oranda gözlendi (%23,11). Biyopsi yapılan olguların %52,18%'ne histerektomi ameliyatı yapılmıştı. Histerektomi sonucu proliferatif-sekretuar endometriyum (%59,52) en sık atipili basit hiperplazi (%1,13) en az histopatolojik sonuç olarak tespit edildi.Sonuç: Postmenapozal kanama ya da endometrial kalınlık artışı olan olgularda endometriyal değerlendirmeyi takiben örnekleme yapılması uygunken, çalışmamız sonuçlarına göre diğer endikasyonlarda rutin olarak endometrial biyopsi tercih edilmemelidir.Anahtar Kelimeler: Endometriyal örnekleme, endometriyum kanseri, histerektomi, histopatolojik inceleme Eurasian

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of Endometrial Sampling and Histopathological Results: Analysis of 4,247 Cases

İnal¹,

İnal²,

Küçükosmanoğlu³

et al. 2017

Eurasian J Med

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Histeroskopi IVF-ICSI/ET öncesi mi, sonrası mı yapılmalıdır?

Soysal

Ürünsak

Çetin

2020

Cukurova Medical Journal

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This research aims to determine the statistical efficiency of office histeroscopy, that is performed before In-vitro fertilisation-intrastoplasmic sperm injection/embriyo transfer (IVF-ICSI/ET) procedure, on the live birth rate and cost efficiency perspective. Specifically, the effects of detecting intrauterin pathologies and fixing them via operations on office environment are examined. Materials and Methods: During the period of 2014-2016, the patients, that are admitted to the infertility clinic and an IVF-ICSI/ET cycles planned after routine checks, are given detailed information on the histeroscopy and its possible effects on increasing the chance of pregnancy. Among these patient are labeled as Group I (n=65) with their consent. During the same process, a control group Group II (n=133) is formed among the patients who get IVF-ICSI/ET tratment without the histeroscopy. Further, the ones that are applied histeroscopy and that are detected to have regular uterus cavity labeled as Group Ia (n=47), whereas the ones diagnosed with intrauterin patalogy formed Group Ib (n=18). This way, these groups are contrasted with the control group on the basis of their live birth rates. Results: There was no statistically significant difference between the groups in terms of age, duration of infertility, etiology of infertility, basal follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) and the number of embryos transferred. When Group Ia and Group Ib were compared in terms of live births, there was no statistically significant difference. Conclusion: Hysteroscopy performed before IVF and correction of pathologies detected by hysteroscopy in the same session did not significantly increase IVF success and live birth.

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The Usefullness of Office Hysteroscopy in Evaluation of Infertil Women Prior to In Vitro Fertilization Cycles

Cited by 2 publications

References 11 publications

Assessment of Endometrial Sampling and Histopathological Results: Analysis of 4,247 Cases

Assessment of Endometrial Sampling and Histopathological Results: Analysis of 4,247 Cases

Histeroskopi IVF-ICSI/ET öncesi mi, sonrası mı yapılmalıdır?

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