Hysteroscopic cervical features associated with difficult embryo transfer in unselected patients undergoing in vitro fertilization

Ou, Yu‐Che; Huang, Kuo‐Tung; Lan, Kuo‐Chung

doi:10.1016/j.bj.2021.06.009

Cited by 2 publications

(1 citation statement)

References 42 publications

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“…The team was looking for the most appropriate diagnostic test to routinely assess uterine cavity before IVF ET. The team's study confirmed that OH allows to successfully identify cervical characteristics associated with a high incidence of difficult ET [ 40 ].…”

Section: Also In This Issuementioning

confidence: 90%

A finger in every pie – The versatility of chemokines

Kattner¹

2022

Biomedical Journal

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Section: Also In This Issuementioning

confidence: 90%

A finger in every pie – The versatility of chemokines

Kattner¹

2022

Biomedical Journal

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The efficacy of early office hysteroscopy in preventing intrauterine adhesions after abortion: a randomized controlled trial

Tsai,

Hsiao,

et al. 2024

BMC Women's Health

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Background Intrauterine adhesions (IUA) are a challenging clinical problem in reproductive infertility. The most common causes are intrauterine surgery and abortions. We aimed to investigate whether early second-look office hysteroscopy can prevent IUA. Methods A single-center, prospective, two-armed, randomized controlled trial was designed to explore the efficacy of early office hysteroscopy after first-trimester induced abortion (suction dilatation and curettage [D&C]) and to further analyze fertility outcomes. Women aged 20–45 years undergoing suction D&C and desiring to conceive were recruited. Between October 2019 and September 2022, 66 women were enrolled, of whom 33 were allocated to group A (early hysteroscopy intervention). The women in intervention group A were planned to receive 2 times of hysteroscopies (early and late). In group B, women only underwent late (6 months post suction D&C) hysteroscopy. Results The primary outcome was the IUA rate assessed using office hysteroscopy 6 months after artificial abortion. Secondary outcomes included menstrual amount/durations and fertility outcomes. In intervention group A, 31 women underwent the first hysteroscopy examination, and 15 completed the second. In group B (late hysteroscopy intervention, 33 patients), 16 completed the hysteroscopic exam 6 months after an artificial abortion. Twenty-one women did not receive late hysteroscopy due to pregnancy. The IUA rate was 16.1% (5/31) at the first hysteroscopy in group A, and no IUA was detected during late hysteroscopy. Neither group showed statistically significant differences in the follow-up pregnancy and live birth rates. Conclusions Early hysteroscopy following suction D&C can detect intrauterine lesions. IUA detected early by hysteroscopy can disappear on late examination and become insignificant for future pregnancies. Notably, the pregnancy outcomes showed a favorable trend in the early hysteroscopy group, but there were no statistically significant differences. Trial registration ClinicalTrials.gov, ID: NCT04166500. Registered on 2019-11-10. https://clinicaltrials.gov/ct2/show/NCT04166500.

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Hysteroscopic cervical features associated with difficult embryo transfer in unselected patients undergoing in vitro fertilization

Cited by 2 publications

References 42 publications

A finger in every pie – The versatility of chemokines

A finger in every pie – The versatility of chemokines

The efficacy of early office hysteroscopy in preventing intrauterine adhesions after abortion: a randomized controlled trial

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