Role of Diagnostic Hysteroscopy in Infertile Women With Normal Hysterosalpingogram

Document Type : Original Article

Author

Department of gynecology and obstetric Benha University. Egypt

Abstract

Objective : To evaluate the Role of Diagnostic Hysteroscopy in Infertile
Women With Normal Hysterosalpingogram(HSG).
Methods : We performed a prospective study on 140 women attending
Benha university hospitals .women underwent a diagnostic hysteroscopy
.All women were having normal HSG, hormonal profile, and their husbands
were having normal semen.
Results: Hysteroscopy revealed abnormalities in 48 women (34.3 %),
and 56 hystroscopic abnormalities( Endometrial Polyp, Cervical Polyp,
Submucous myoma, Cervical stenosis, Intrauterine adhesions, Chronic
endometritis. Septum, Hypertrophic endometrium. Atrophic endometrium
, Cornual inflammation and Cornual fibrosis). It revealed that hysteroscopy
may be a part of routine infertility work up.
Conclusion: We can conclude that HSG is still considered the first line
diagnostic tool in infertility work up, however, in infertile women with
normal HSG, hysterolaparoscopy is recommended 6 months following the
procedure of HSG.

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