Results of 2500 office-based diagnostic hysteroscopies before IVF
Received 11 June 2009; received in revised form 28 July 2009; accepted 2 December 2009. published online 08 March 2010.
Abstract
The aim of the study is to assess the diagnostic accuracy, findings and feasibility of office-based diagnostic hysteroscopy in an IVF population. A total of 2500 consecutive infertile patients were enrolled prospectively prior to IVF treatment. Diagnostic hysteroscopy was performed on each subject in an office setting in the study IVF centre. A total of 1927 patients (77.1%) had a normal uterine cavity, while the remainder of the sample (n=573) demonstrated endometrial pathology on hysteroscopy (22.9%). Of the patients with endometrial pathology, 192 patients had endometrial polyps (7.68%), 96 patients had submucosal fibroids (3.84%), 31 patients had polypoid endometria (1.24%), 27 patients had intrauterine adhesions (1.08%) and 73 patients had uterine septa (2.92%). Diagnostic office-based hysteroscopy is routinely performed in the IVF clinic to assess the endometrial cavity. In such an unselected population, a significant percentage of patients had evidence of uterine pathology that may have impaired the success of IVF. Safety, ease of use, high diagnostic accuracy and high patient tolerance makes office-based hysteroscopy an ideal procedure.
Declaration: The authors report no financial or commercial conflicts of interest.
Zekai Tahir Burak Women’s Health Education and Research Hospital, Ankara, Turkey
Corresponding author.
Dr Rana Karayalçın obtained her medical degree in 1987 at Ankara University School of Medicine, Ankara, Turkey. She completed her obstetrics and gynecology residency in Zekai Tahir Burak Women’s Education and Research Hospital between 1991 and 1996 and has been working as a staff surgeon since 1998 in the same hospital. She has also worked at Queen Elisabeth Women’s Hospital, New York University Cornell Medical Center, Memorial Sloan Kettering Cancer Center Gynecology Clinic and Centre Hospitalier Universitaire Cochin. Her areas of interest are IVF and advanced laparoscopic surgery. She has been training residents and performing courses in operative hysteroscopy and laparoscopy since 2004.
ABSTRACT
Dr Rana Karayalçın obtained her medical degree in 1987 at Ankara University School of Medicine, Ankara, Turkey. She completed her obstetrics and gynecology residency in Zekai Tahir Burak Women’s Education and Research Hospital between 1991 and 1996 and has been working as a staff surgeon since 1998 in the same hospital. She has also worked at Queen Elisabeth Women’s Hospital, New York University Cornell Medical Center, Memorial Sloan Kettering Cancer Center Gynecology Clinic and Centre Hospitalier Universitaire Cochin. Her areas of interest are IVF and advanced laparoscopic surgery. She has been training residents and performing courses in operative hysteroscopy and laparoscopy since 2004.