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Corresponding Author

Mahmoud Abdel Moneim Mahmoud Beltagy

Document Type

Original Article

Abstract

Background: In patients with a history of secondary infertility, hysteroscopy is used to identify potential intrauterine abnormalities that may be associated with a decreased rate of conception.

Objective: Is to assessment of the role of hysteroscopy in identifying uterine cavity anomalies in females with secondary infertility who have a normal uterine cavity according to trans vaginal ultrasound and normal HSG.

Patients and Methods: This study involved 163 individuals, aged 20 to 40, admitted to the Gynecological Department of Al-Hussein and Sayed Galal University Hospitals, Al-Azhar University, with secondary infertility and no identified uterine abnormality.

Results: In our study, 64 (39.3%) women had abnormal hysteroscopy with more than one abnormalities in some cases with the following abnormalities; cervical stenosis in 19 women (11.7%), osteal fibrosis 18 in women (11%), uterine synechia in 14 women (8.6%), corneal inflammation in 13 women (8%), endometrial fibrosis in 12 women (7.4%), a deformed cavity in 8 women (4.9%), endometrial inflammation in 7 women (4.3%), cervical Polyp in 6 women (3.7%), septate uterus in 5 women (3.1%), uterine Polyp in 4 women (2.5%), atrophic endometrium in 2 women(1.2%) and hyperplastic endometrium in 2 women (1.2%).

Conclusion: It is recommended that diagnostic hysteroscopy be done routinely in patients with unexplained secondary infertility, recurrent implementation failure and assisted reproduction due to its high accuracy of 85.7 % and extremely minimal risk of complications. The most frequent finding in secondary infertility was cervical stenosis; the other notable finding was cervical Polyp.

Keywords

Hysteroscopy; SecondaryInfertility; Diagnosis

Subject Area

Obstetrics and Gynecology

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