“…For instance, Kessler and Lancet (1986) reported that in about two thirds of the cases hysteroscopy did not correlate with findings at HSG. Wang et al (1996) found that among 79 women with a normal HSG, 28 had abnormal findings on hysteroscopy. As a result, hysteroscopy has become the gold standard for the diagnosis of intrauterine abnormalities (Ruach et al 1998).…”
A One Stop approach to the investigation of infertility is attractive but not suitable for or desired by all infertile couples. Organisational issues were also identified.
“…For instance, Kessler and Lancet (1986) reported that in about two thirds of the cases hysteroscopy did not correlate with findings at HSG. Wang et al (1996) found that among 79 women with a normal HSG, 28 had abnormal findings on hysteroscopy. As a result, hysteroscopy has become the gold standard for the diagnosis of intrauterine abnormalities (Ruach et al 1998).…”
A One Stop approach to the investigation of infertility is attractive but not suitable for or desired by all infertile couples. Organisational issues were also identified.
“…Additionally, previous studies have shown that HSG may miss from 30% to 40% of uterine abnormalities. 2–4 Given the high false-negative rate, the low positive predictive value, 5 and the inability to treat abnormal findings concurrent with diagnosis, HSG has significant limitations when evaluating the endometrial cavity.…”
“…Dix à 35 % des lésions intra-utérines révélées en hystéroscopie sont méconnues par l'HSG [50,51]. Plusieurs études ont démon-tré la supériorité de l'hystéroscopie par rapport à l'HSG dans l'exploration de la cavité utérine lors du bilan d'infertilité [51][52][53][54][55][56].…”
Section: Stratégie De Choix Des Examens Bilan D'infertilité Initialunclassified
“…Dans une étude rétrospective de 145 patientes candidates à une FIV-ICSI ayant subit une hystéroscopie systématique, Féghali et al [22] ont retrouvé une incidence de 45 % de lésions intra-utérines avec en premier lieu des endométrites [55,58], suivi de polypes et de myomes (10,3 %). Les autres lésions étaient moins fré-quentes (muqueuses dystrophiques [5,5 %], adénomyose [3,5 %] et synéchies [2 %]).…”
Section: Bilan Pré-fécondation In Vitrounclassified
“…Plusieurs auteurs se sont intéressés à évaluer ou à réévaluer la cavité utérine chez les femmes ayant des échecs répétés d'implantation. La majorité de ces auteurs ont retrouvé une fréquence élevée des lésions intra-utérines (35 et 46 %), malgré que les patientes avaient initialement une HSG normale [1,24,25,55].…”
Section: Réévaluation De La Cavité Utérine Après éChec D'implantationunclassified
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