Prevalence of unsuspected uterine cavity abnormalities diagnosed by office hysteroscopy prior to in vitro fertilization | Zendy

Human M. Fatemi | Zendy; Jenneke C. Kasius | Zendy; Arco Timmermans | Zendy; J. van Disseldorp | Zendy; Bart C.J.M. Fauser | Zendy; Paul Devroey | Zendy; Frank J. Broekmans | Zendy

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Prevalence of unsuspected uterine cavity abnormalities diagnosed by office hysteroscopy prior to in vitro fertilization

Author(s) -

Human M. Fatemi,

Jenneke C. Kasius,

Arco Timmermans,

J. van Disseldorp,

Bart C.J.M. Fauser,

Paul Devroey,

Frank J. Broekmans

Publication year - 2010

Publication title -

human reproduction

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.446

H-Index - 226

eISSN - 1460-2350

pISSN - 0268-1161

DOI - 10.1093/humrep/deq150

Subject(s) - hysteroscopy , asymptomatic , uterine cavity , medicine , in vitro fertilisation , gynecology , obstetrics , infertility , population , pregnancy , uterus , biology , pathology , environmental health , genetics

Whether implantation occurs after in vitro fertilization (IVF) depends on the embryo, uterine receptivity or a combination of both. The prevalence of minor intrauterine abnormalities identified at hysteroscopy in cases with a normal transvaginal sonography (TVS) has been recorded to be as high as 20-40%. Diagnosing and treating such pathology prior to initiating IVF/intra-cytoplasmic sperm injection (ICSI), has been widely advocated without high-quality evidence of a beneficial effect. The objective of the current study was to assess, by screening office hysteroscopy, the prevalence of unsuspected intrauterine abnormalities in an asymptomatic population of IVF patients, in whom TVS had not revealed any pathology.

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