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Role of Hysteroscopy in ART

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Manual of Fertility Enhancing Hysteroscopy

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Abstract

The process of assisted reproductive technologies (ART) has evolved over a period of time, and hysteroscopy has become an integral part of it. Assessment of the uterine cavity before ART helps in finding and treating many conditions which can directly affect the outcome, and it also helps in ways not fully understood to improve the success rate. Most common findings on hysteroscopy are polyp, septum, and myoma, apart from many other significant findings. Endometrial polyp has been shown to significantly hamper the implantation rate, and its removal improves the ART outcome. Septum has more commonly been related to miscarriages, but its removal before ART can improve the take-home baby rate. Larger myomas close to uterine cavity have been shown to significantly hamper fertility, and myomectomy can significantly improve the success rate. Hysteroscopy through artificial endometrial injury prior to first IVF cycle or in previously failed cycles can enhance implantation rates. Recently, hysteroscopy has been utilized for tubal occlusion and cervical refashioning in difficult embryo transfers. Hysteroscopic embryo transfer is a concept which requires further evaluation and research.

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Author information

Authors and Affiliations

  1. Orion Hospital, Pune, Maharashtra, India

    Parag Hitnalikar MD (OBGY), FNB (Reprod Med)

  2. Ruby Hall Clinic, Pune, Maharashtra, India

    Parag Hitnalikar MD (OBGY), FNB (Reprod Med)

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  1. Parag Hitnalikar MD (OBGY), FNB (Reprod Med)
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Editors and Affiliations

  1. Director and Senior Consultant, Reproductive Medicine, Dreamz IVF, New Delhi, India

    Shikha Jain

  2. Consultant Reproductive Medicine and Assistant Professor (Dept of OBGY), Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India

    Dattaprasad B. Inamdar

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Hitnalikar, P. (2018). Role of Hysteroscopy in ART. In: Jain, S., Inamdar, D. (eds) Manual of Fertility Enhancing Hysteroscopy. Springer, Singapore. https://doi.org/10.1007/978-981-10-8028-9_9

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  • DOI: https://doi.org/10.1007/978-981-10-8028-9_9

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