This manuscript stresses the role and importance of hysteroscopy in patients prior to IVF treatment. Office hysteroscopy, technically feasible and with high levels of patient compliance, is today’s gold standard for the study of uterine cavity. Published trials have demonstrated a relatively high incidence of intracavitary abnormalities diagnosed at outpatient hysteroscopy and in patients with prior IVF treatment and previous IVF cycle failure, the correction of which markedly improves outcomes.
Although observational studies indicate higher pregnancy rates following hysteroscopic removal of endometrial polyps, submucous fibroids, uterine septum, and intrauterine adhesions, more randomized studies are needed to substantiate the effectiveness of hysteroscopic removal of polyps, submucous fibroids, uterine septum, or intrauterine adhesions in women prior to IVF.
Endometritis and such recent hysteroscopic technology as endometrial scratching, are discussed in the case of RIF (Recurrent Implantation Failure), but more studies are needed to confirm their effective role in infertility.
KeywordsHysteroscopy Female infertility Outcome reproductive IVF New hysteroscopic technology
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