Outcomes of hysteroscopic surgery in women with infertility

Abstract

Main Results: The mean age of the women in this study was 36.5 ± 4.2 years and 163 (81.9%) were nulliparous. Malignancy was detected postoperatively in 5 of the 199 (2.5%) women. One woman underwent an additional operation, whereas the other 4 received medroxyprogesterone acetate and continued with treatment for infertility. Notably, 70 of 122 (57.4%) women successfully conceived within a year of surgery; however, among these 70, miscarriage occurred in 10 women. Detailed obstetric data were available for 46 women with live births following surgery. Among these 46 women, 19 underwent a cesarean section. No detrimental effects were observed on reproductive and obstetric outcomes. Conclusions: Hysteroscopic surgery was safely and effectively performed in women with infertility admitted to our hospital. Hysteroscopic surgery may contribute to successful treatment of infertility in women with intrauterine lesions.