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Background:There have been numerous advances in the area of assisted reproduction. Among the various reasons of implantation failure, intrauterine lesions play an important role.Objective:The aim of the present study is to evaluate the role of hysteroscopy prior to any assisted reproductive technique.Materials and Methods:It is a retrospective study of 292 women who attended our infertility clinic over a period of 18 months, who had a variable number of failed IVF cycles previously.Results:Out of the 292 women studied, in 74 women, that is 25%, intrauterine pathology was detected, which when rectified by hysteroscopy, gave a considerable increase in pregnancy rate.Conclusion:According to this study it can be concluded that evaluating the uterine cavity is an important step before any assisted reproductive procedures.

Objective: To study the perinatal outcome after fetal reduction in multiple gestations. Materials and Methods: This is a retrospective study of 12 patients who underwent fetal reduction for multiple gestations. The ultrasound-guided procedure was done transabdominally. Results: Of the 12 patients who underwent fetal reduction, one had spontaneous abortion following the procedure while the other 11 delivered live babies. Conclusion: Multiple gestations have an adverse neonatal outcome. By reducing the highorder pregnancies to twin gestations, the associated complications can be reduced. Ultrasound-guided fetal reduction is safe and effective method for reduction of multifetal gestations to twins or singleton, and improving the pregnancy outcome.

The study aimed to evaluate the quality of sperm morphology reading skills of andrology technologists in a developing country who are responsible for the analysis of semen in their institutions or clinics. The 1-day workshop was held as a post-congress training course during the second World Congress on Practical Infertility Management and Human Reproduction, Mumbai, India. The workshop format consisted of four sections namely (i) pre-training test, (ii) lectures on morphometric characteristics and details of normal and abnormal spermatozoa (iii) a consensus training session and (iv) a hands-on post-training test. The results revealed that the workshop participants had very little or no knowledge of sperm morphology, because the pre-training % relative difference between the reference value and the participants was 188%. Following training, however, the % difference decreased to 37% and minus 22% post-training tests. These somewhat alarming results highlight the need for training opportunities and facilities for andrology technologists.

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