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Diagnostic Office Vaginohysteroscopy in Evaluation of Infertility Prior to IVF: A Retrospective Analysis of 1000 Cases

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The aim of this study was to analyze the utility of routine use of diagnostic office vaginohysteroscopy in the evaluation of uterine cavity in infertility patients prior to IVF-ET.

Materials and Methods

We conducted a retrospective analysis of 1000 women who had undergone routine diagnostic office vaginohysteroscopy as an institutional protocol in the evaluation of infertility prior to IVF-ET cycle at a tertiary care hospital. They were divided into two groups: primary infertility (group I) and secondary infertility (group II). The primary outcome was the finding of an abnormal uterine cavity (congenital abnormality vs acquired abnormality).


One thousand women underwent routine diagnostic office vaginohysteroscopy in the evaluation of infertility prior to IVF-ET. There were no intraoperative or postoperative complications. Vaginohysteroscopy revealed an abnormal uterine cavity in 13.8% (1000 patients) of women. Primary infertility group (I) had 13.19% (811 patients), and secondary infertility group (II) had 16.4% (189 patients) abnormal uterine cavities.


Diagnostic office vaginohysteroscopy has a definite role in the uterine cavity evaluation in infertility patients prior to IVF, but routine use should not be recommended considering the low incidence of abnormal uterine cavity findings. Moreover, the majority of these uterine cavity abnormalities can be detected by less invasive tests such as HSG, TVS, SSG and 3D ultrasound.

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Correspondence to Praveen Kumar.

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Conflict of interest

There is no potential conflict of interest for any author.

Ethical Standards

Since this study is a retrospective analysis of diagnostic office vaginohysteroscopies performed in a tertiary care center as an institutional protocol in the evaluation of infertility patients prior to IVF, no ethical issues are involved.

Informed Consent

Written informed consent was taken from each patient in the study.

Additional information

Dr. Praveen Kumar is a Gynae Endoscopic Surgeon and Senior Fellow Reproductive Medicine at ART Centre, Army Hospital (Research & Referral), Delhi.

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Kumar, P., Mohan, S., Talwar, P. et al. Diagnostic Office Vaginohysteroscopy in Evaluation of Infertility Prior to IVF: A Retrospective Analysis of 1000 Cases. J Obstet Gynecol India 67, 275–281 (2017).

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