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Corresponding Author

Abdel Hamid El Sayed Mowafy

Document Type

Original Article

Abstract

Background: Infertility is estimated to impact one in every seven heterosexual couples. The malefactors causing infertility (30 percent), tubal damage (20 percent), unexplained infertility (25 percent), ovulatory disorders (25 percent), tubal damage (20 percent), and uterine or peritoneal disorders (10 percent) are the leading causes of infertility. In the past twenty years, hysteroscopy has gained recognition as the gold-standard technique for evaluating the uterine cavity.

Aim and objectives: To assess the impact of hysteroscopic polypectomy on conception in unexplained infertile women.

Subjects and methods: A prospective cohort interventional research was performed at El-HUSSIEN University Hospital from January 2022 to August 2022, involving a total of 50 women who had been diagnosed with unexplained infertility in the Obstetrics and Gynecology department.

Result: Regarding primary outcome measures among the studied cases, 32.0% were clinical pregnancies, and 26% were ongoing pregnancies. Laboratory results and HSG in our study showed that the mean Serum estradiol (E2) was 56.2 ± 10.45, the mean Mid-luteal progesterone was 40.1 ± 3.21, 16% was Obstruction and 12% was Adhesion.

Conclusion: Patients whose infertility is caused by endometrial polyps and menstrual abnormalities and who do not have any other medical reasons for their infertility can significantly benefit from trans-cervical polypectomy. Additionally, there is a minimal recurrence rate, and the procedure is safe.

Keywords

hysteroscopic polypectomy; unexplained infertility; menorrhagia; endometrial polyps

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