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Research Question
Should routine Hysteroscopy be a part of
routine workup in patients of infertility prior
to undergoing ART ?
Introduction
Infertility is “a disease of the reproductive
system defined by the failure to achieve a
clinical pregnancy after 12 months or more
of regular unprotected sexual intercourse”
according to WHO revised glossary of
assisted reproductive technology (ART)
Inclusion Criteria:
Age between 18 - 45 yrs
ART Candidates (IVF,ICSI-ET, Oocyte/Embryo donation)
Exclusion criteria:
Patient with H/o Diagnostic Hysteroscopy with normal
findings within the previous 6 months
Statistical Measures of outcome
Method of measure of outcome of interest
Frequency Sensitivity
Specificity
PPV
NPV
Uterine pathologies visible on HSC and/or
on TVS as well as histopathology reports of
the same
Method of data collection :
All women who presented to the IVF centre and met the
inclusion and exclusion criteria were considered
Absent Ostia 0 0 -
Absent Ostia - - - - - - - -
Results
Chart Title Chart Title
Normal findings
Pathologies detected Primary Secondary
38%
35%
65% 62%
*Moini A, Kiani K, Ghaffari F, et al. Hysteroscopic Findings in Patients with A History of Two
Implantation failures following in vitro fertilization. Int J Fertil Steril.2012; 6(1): 27-30
Discussion
Hysteroscopy appeared to be more reliable in
diagnosis than TVS and offers the possibility of
simultaneous diagnosis treatment of endouterine
pathologies in infertile women