Effect of the decision to perform hysteroscopy on asymptomatic patients before undergoing assisted reproduction technologies—a systematic review and meta-analysis

Marchand, Greg; Masoud, Ahmed Taher; Ulibarri, Hollie; Parise, Julia; Arroyo, Amanda; Coriell, Catherine; Goetz, Sydnee; Moir, Carmen; Moberly, Atley

doi:10.1016/j.xagr.2023.100178

Cited by 4 publications

(3 citation statements)

References 30 publications

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“…Hysteroscopy is a very important diagnostic and therapeutic tool in managing patients with infertility, suspected intrauterine cavity, and abnormal uterine bleeding [ 68 ]. It gained immense popularity due to its minimally invasive approach to intrauterine lesions.…”

Section: Hysteroscopymentioning

confidence: 99%

A Review of the Mechanism of Action and Clinical Applications of Osmotic Dilators for Cervical Ripening in the Induction of Labor and in Gynecology Procedures

Socha¹,

Flis²,

Wartęga

et al. 2023

Med Sci Monit

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Cervical ripening is defined as the significant softening of the cervical tissue that usually begins before the onset of contractions during labor, and is required for cervical dilation and delivery. Osmotic dilators are medical implements that dilate the uterine cervix by increasing in size as they absorb fluid from the surrounding tissue. This article aims to review the mechanisms and applications of osmotic dilators for cervical ripening in the induction of labor and in gynecology procedures.

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Section: Hysteroscopymentioning

confidence: 99%

A Review of the Mechanism of Action and Clinical Applications of Osmotic Dilators for Cervical Ripening in the Induction of Labor and in Gynecology Procedures

Socha¹,

Flis²,

Wartęga

et al. 2023

Med Sci Monit

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“…The present study evaluated relevant evidence on the effectiveness of surgical hysteroscopy in improving reproductive health and increasing the pregnancy success rate in infertile women with uterine disorders. According to Marchand et al (2023), hysteroscopy is a procedure that allows the visualization and treatment of dysfunctions present in the uterus, such as polyps, fibroids, endometritis and intrauterine adhesions. Thus, it has great potential in reversing infertility, as it ensures the detection of intrauterine changes that are capable of interfering with embryo implantation (LEZAMA-RUVALCABA et al, 2018).…”

Section: Effectiveness Of Surgical Hysteroscopymentioning

confidence: 99%

“…In addition, the use of hysteroscopy before performing assisted reproduction techniques was evaluated. According to Marchand et al (2023), there was a relevant increase in the clinical pregnancy rate, but there was no improvement in the live birth rate, miscarriage rate, fertilization rate, chemical pregnancy rate, multiple gestation, number of embryos transferred and number of oocytes retrieved. The exact way in which hysteroscopy increases the clinical pregnancy rate is still unknown, but it is suggested that this is due to the treatment of small intrauterine lesions.…”

Section: Effectiveness Of Surgical Hysteroscopymentioning

confidence: 99%

APPLICATION OF SURGICAL HYSTEROSCOPY IN THE TREATMENT OF uterine disorders that cause infertility

Thomé,

Rubatino,

Reis

et al. 2023

JHS

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Objective: To analyze the application of surgical hysteroscopy in the treatment of uterine disorders that cause infertility in women of reproductive age. Methodology: A bibliographic review covering the period from 2018 to 2023 was carried out, using the Scielo and PubMed databases. 114 articles were found, of which 16 studies were selected according to the inclusion criteria. Results: The effectiveness of the treatment is directly related to the choice of technique and instruments used, taking into consideration, the need and medical preference, as well as the complexity of the clinical case. Surgical hysteroscopy has advantages such as low cost, quick recovery, dependence on the operator to ensure effectiveness, minimally invasive character allowing its performance both in clinical and hospital environments. In addition to its application as a diagnostic technique, it can be used in surgical procedures. The absence of scars, hospital discharge on the same day without the risk of complications, and direct access to the uterus stand out, enabling precise and specific therapeutic interventions, which results in improvements in the subsequent pregnancy rate in specific situations. Conclusion: Surgical hysteroscopy demonstrates a high success rate in the treatment of uterine disorders that cause infertility, contributing to the improvement of reproductive health and the increase in the pregnancy success rate in women with these disorders. To establish conclusions and clinical considerations about this procedure, additional studies and research are needed.

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Application of disposable digital hysteroscope for outpatient hysteroscopy in women undergoing artificial assisted reproductive procedures: a clinical research

Jiang,

Dan,

Pasic

et al. 2024

gocm

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BackgroundHysteroscopy is the preferred method for the diagnosis and treatment of uterine diseases. With the increasing demand for outpatient hysteroscopy, disposable digital hysteroscopy has emerged, which can meet the requirements of diagnosis and treatment integration, and greatly reduce the labour and storage costs.MethodsA total of 108 outpatients who underwent hysteroscopy using disposable digital hysteroscope were divided into two groups: the non-porous group (group A, n=49) and the married with child group (group B, n=59). The patients’ general information and clinical data were recorded and statistical analysis was performed.ResultsNo differences were found between the age, weight, body mass index, menopausal status and indication for hysteroscopy of the two groups. The most common indication was embryo transfer failure. The surgical success rate of 108 patients was 100%, the concordance rate between hysteroscopic diagnosis of chronic endometritis and pathological diagnosis was 94.44% (68/72), while the false positive rate stood at 38.89% (14/36). Additionally, incidental findings rate for endometrial polyps was 92.00% (23/25) with a low false positive rate of only 6% (5/83). The mean visual analogue scale score of group A was 2.285±0.180, which was not significantly different from group B (p=0.483, 95% CI(−0.60-0.44)). The pregnancy rate among patients who received assisted reproductive technology and were followed up for 1 year after surgery was 66.67% (40/60), while the abortion rate stood at 5.00% (3/60).ConclusionsThe disposable digital hysteroscope is a valuable and effective tool for outpatient hysteroscopy.

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Effect of the decision to perform hysteroscopy on asymptomatic patients before undergoing assisted reproduction technologies—a systematic review and meta-analysis

Cited by 4 publications

References 30 publications

A Review of the Mechanism of Action and Clinical Applications of Osmotic Dilators for Cervical Ripening in the Induction of Labor and in Gynecology Procedures

A Review of the Mechanism of Action and Clinical Applications of Osmotic Dilators for Cervical Ripening in the Induction of Labor and in Gynecology Procedures

APPLICATION OF SURGICAL HYSTEROSCOPY IN THE TREATMENT OF uterine disorders that cause infertility

Application of disposable digital hysteroscope for outpatient hysteroscopy in women undergoing artificial assisted reproductive procedures: a clinical research

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