Format

Send to

Choose Destination
Fertil Steril. 1998 Aug;70(2):378-80.

The role of diagnostic hysteroscopy and endometrial biopsy in assisted reproductive technologies.

Author information

1
Department of Obstetrics and Gynecology, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy.

Abstract

OBJECTIVE:

To study the incidence of unsuspected endouterine abnormalities in patients for whom IVF-ET repeatedly fails.

DESIGN:

Prospective study.

SETTING:

Infertility Unit of the Department of Obstetrics and Gynecology, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy.

PATIENT(S):

One hundred patients for whom two IVF-ET cycles failed in which > or =2 good-quality embryos were transferred.

INTERVENTION(S):

In-office diagnostic hysteroscopy and endometrial biopsy.

MAIN OUTCOME MEASURE(S):

Relation between IVF-ET failure and unsuspected endouterine abnormalities.

RESULT(S):

In 18 patients, hysteroscopy showed an important unsuspected endouterine abnormality. Fifteen of these patients did not become pregnant after IVF-ET, and 3 became pregnant but had a spontaneous abortion. Histologic examination of the endometrium revealed chronic endometritis in 1 patient and tuberculous endometritis in another.

CONCLUSION(S):

Previous studies have reported that the incidence of endouterine abnormalities is high in patients undergoing IVF-ET. Our data confirm the previous reports and lead us to conclude that diagnostic hysteroscopy should be performed on all patients before they undergo IVF-ET.

PMID:
9696242
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center