Gynecologic and Obstetric Investigation
Original Article
The Value of Routine Hysteroscopy before the First Intracytoplasmic Sperm Injection Treatment CycleAlleyassin A. · Abiri A. · Agha-Hosseini M. · Sarvi F.Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
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Article / Publication Details
Received: November 16, 2015
Accepted: March 22, 2016
Published online: May 04, 2016
Issue release date: March 2017
Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2
ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)
For additional information: https://www.karger.com/GOI
Abstract
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.
© 2016 S. Karger AG, Basel
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Article / Publication Details
Received: November 16, 2015
Accepted: March 22, 2016
Published online: May 04, 2016
Issue release date: March 2017
Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2
ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)
For additional information: https://www.karger.com/GOI
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