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Corresponding Author

Abd Elaal, Elsayed

Abstract

Background: Hysteroscopy, a technique of exploring and manipulating the endometrial cavity transcervically, has revolutionized the diagnosis and management of intrauterine illness in gynecologic practice. It is a minimally invasive procedure that may be used to analyze data and treat a variety of intrauterine and endocervical issues. Objective: The study's goal was to see whether there was a role for operational hysteroscopy in boosting pregnancy rates and decreasing patient complaints in women with primary infertility and identified intrauterine abnormalities. Patients and methods: This is prospective research that took place at Elhussein & Elsayed Galal University hospital, Al-Azhar University and this study included 100 of patients whom suffered from 1ry infertility due to intrauterine lesions such as (Polyp-Submucous fibroid-Intrauterine adhesions- Septum) during the period of (2020 & 2021). Results: After operative hysteroscopy the reproductive outcome was 54 out of 100 patients (54%) achieved pregnancy. Of those, 51 women had singleton pregnancies while 3 women had twin pregnancies. Of the 54 patients who achieved pregnancy, 14 patients aborted, 32 patients continued to term pregnancy and 8 patients had preterm delivery and live births was 40 (74%). Conclusion: Our results imply that correcting any uterine anomalies, no matter how modest, enhances the chances of conception in infertile women with no other underlying reasons of infertility.

Article Type

Original Article

Keywords

Hysteroscopy; intrauterine lesions; primary infertility; Pregnancy

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