Role of office hysteroscopy in the evaluation of infertile women after controlled ovarian stimulation/intra uterine insemination failure

Role of office hysteroscopy in the evaluation of infertile women after controlled ovarian stimulation/intra uterine insemination failure

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Objective: To assess the role of office hysteroscopy (OH) in the evaluation of infertile women with normal ashy bines protein powder HSG who fail to conceive after undergoing controlled ovarian stimulation/intrauterine insemination (COS/IUI).Design: Prospective cohort study.Materials and methods: The study included 141 patients with absent pelvic pathology on trans vaginal sonography and HSG and history of failed three or more trials of COS/IUI.Office hysteroscopy was then done and any detected intrauterine pathology was recorded.Results: A total abc material of 141 patients were examined by OH of which 26 patients proved to have uterine pathology, giving a false negative rate of (18.

4%) of HSG.The overall agreement between HSG and OH was 81.6%.Conclusion: Significant uterine pathology was proved in 18.4% infertile women in spite of normal HSG results.

OH has a role in infertile women with no obvious abnormality on HSG before they proceed to more aggressive treatment.