The Role of Hysteroscopy in Patients Having Failed IVF/GIFT Transfer Cycles

Kirsop, Rodney; Porter, Robert H.; Torode, Hugh; Smith, David H.G.; Saunders, Douglas M.

doi:10.1111/j.1479-828x.1991.tb02795.x

Cited by 31 publications

(18 citation statements)

References 5 publications

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“…, suggested that intrauterine abnormalities may be a cause for failure of IVF-ET or Gamete Intrafallopian Transfer (GIFT) and therefore hysteroscopy should be part of the infertility workup for all patients, prior to undergoing IVF treatment. [13]…”

Section: Discussionmentioning

confidence: 99%

Role of hysteroscopy prior to assisted reproductive techniques

Palshetkar

Pai

Pisat

2009

J Gynec Endosc Surg

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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.Materials and Methods:It is a retrospective study of 292 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 292 women studied, in 74 women, that is 25%, 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 procedures.

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Section: Discussionmentioning

confidence: 99%

Role of hysteroscopy prior to assisted reproductive techniques

Palshetkar

Pai

Pisat

2009

J Gynec Endosc Surg

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“…Majority of papers in the pertinent medical literature reported macroscopic endometrial pathologies like polyp, adhesion or submucous myoma in hysteroscopy after repetitive IVF failure [5][6][7]. When there is a macroscopic abnormality, eventually, it is detected and treated appropriately.…”

Section: Discussionmentioning

confidence: 99%

“…But the observation of endometrium by these tools does not assure normal endometrial lining. Hysteroscopic visualization is recommended for a direct and closer look to the endometrium in recurrent IVF failure [5]. Furthermore, a normal appearance in conventional hysteroscopy does not assure the integrity of endometrial cells.…”

Section: Discussionmentioning

confidence: 99%

“Chromohysteroscopy” for evaluation of endometrium in recurrent in vitro fertilization failure

Küçük

Safalı

2008

J Assist Reprod Genet

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Purpose To assess the efficacy of chromohysteroscopy in detecting endometrial pathologies in recurrent in vitro fertilization (IVF) failure. Materials and methods Sixty-four patients in whom conventional hysteroscopy did not show any apparent endometrial pathology were included. Five milliliter of 1% methylene blue dye was introduced through the hysteroscopic inlet. Biopsies were obtained both from dark stained and light stained areas. Results The study group was grouped according to the staining characteristics. Group I included 22 patients in whom focal dark staining was observed. Group II included 41 patients in whom diffuse light blue staining without dark areas was observed. There was no significant difference between two groups in age, smoking, body mass index, number of IVF failure and time to hysteroscopy after the last failure. But, there was a statistically significant difference in the incidence of endometritis between two groups (p=0.007). The power of dark staining for detection of endometritis was calculated as follows: sensitivity 69.2%, specificity 74%, positive predictive value 40.9% and negative predictive value 90.2%. ConclusionChromohysteroscopy improves the efficacy of hysteroscopy in recurrent IVF failure. Observation of diffuse light blue staining without dark areas strongly suggests a normal endometrium free of endometritis.

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“…Kirsop et al suggested that intrauterine abnormalities may be a cause for failure of IVF-ET or gamete intrafallopian transfer (GIFT) and therefore hysteroscopy should be part of the infertility work-up for all patients, prior to undergoing IVF treatment. 13 Faghali et al have also recommended screening the uterus by hysteroscopy before proceeding with IVF, to minimize implantation failures. 14 The role of hysteroscopy in patients with previously failed IVF cycles has also been studied.…”

Section: Discussionmentioning

confidence: 99%

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

Dalal¹,

Palshetkar²

2011

International Journal of Infertility &Amp; Fetal Medicine

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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.

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The Role of Hysteroscopy in Patients Having Failed IVF/GIFT Transfer Cycles

Cited by 31 publications

References 5 publications

Role of hysteroscopy prior to assisted reproductive techniques

Role of hysteroscopy prior to assisted reproductive techniques

“Chromohysteroscopy” for evaluation of endometrium in recurrent in vitro fertilization failure

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

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