Role of office hysteroscopy in the evaluation of infertile women after controlled ovarian stimulation/intra uterine insemination failure
Objective: To assess the role of office hysteroscopy (OH) in the evaluation of infertile women with normal HSG who fail to conceive after undergoing controlled ovarian stimulation/intrauterine insemination (COS/IUI). Design: Prospective cohort study. Materials and methods: The study included 141 pat...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2014-12-01
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| Series: | Middle East Fertility Society Journal |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110569013000800 |
| Summary: | Objective: To assess the role of office hysteroscopy (OH) in the evaluation of infertile women with normal HSG who fail to conceive after undergoing controlled ovarian stimulation/intrauterine insemination (COS/IUI).
Design: Prospective cohort study.
Materials and methods: The study included 141 patients with absent pelvic pathology on trans vaginal sonography and HSG and history of failed three or more trials of COS/IUI. Office hysteroscopy was then done and any detected intrauterine pathology was recorded.
Results: A total of 141 patients were examined by OH of which 26 patients proved to have uterine pathology, giving a false negative rate of (18.4%) of HSG. The overall agreement between HSG and OH was 81.6%.
Conclusion: Significant uterine pathology was proved in 18.4% infertile women in spite of normal HSG results. OH has a role in infertile women with no obvious abnormality on HSG before they proceed to more aggressive treatment. |
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| ISSN: | 1110-5690 |