Role of Hysteroscopy Prior to Assisted Reproductive Techniques in Patients with Previous IVF Failure

Abstract

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 in patients who had previous one or more failed IVF cycle(s). Materials and methods It is a retrospective study of 248 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 248 women studied, in 62 (25%) patients, 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 procedure.

Effect of hysteroscopy before starting in-vitro fertilization for women with recurrent implantation failure

“…The preponderance of studies has suggested that HSC before IVF improves outcomes in patients undergoing their first IVF cycle and in patients with RIF. [6,7,15,36] Previous studies reported a higher rate of uterine abnormalities in patients with RIF than in the general IVF population. [6,13,15,16,37] Another study [22] indicated that HSC can identify uterine pathologies that previously determined to be normal by transvaginal ultrasound, and that this correction can improve the pregnancy rate and live birth rates.…”

“…[6,13,15,16,37] Another study [22] indicated that HSC can identify uterine pathologies that previously determined to be normal by transvaginal ultrasound, and that this correction can improve the pregnancy rate and live birth rates. For example, Dalal et al [7] studied 248 women with a variable number of failed IVF cycles and showed that HSC identified 25% of female intrauterine pathologies. When the abnormality was identified, the pregnancy rate after IVF was significantly increased.…”

Role of uterine artery Doppler indices for predicting intrauterine pathology inconclusive on 2-dimensional transvaginal imaging among infertile women undergoing frozen embryo transfer cycle

“…5,6 Currently, it is recommended to carefully assess for intrauterine pathology before doing IVF-ET. [7][8][9][10] Transvaginal ultrasonography plays a vital role in fertility treatment and evaluation of the endometrium. Blood flow to the uterine and ovarian artery undergoes important changes corresponding to cyclical hormone changes and can be easily detected using color Doppler.…”