Role of hysteroscopy in evaluation of infertility

Background: Hysteroscopy is gold standard procedure for uterine cavity evaluation (1). There are many randomized controlled trials on technical feasibility and patient compliance demonstrating that the procedure is well tolerated and effective in treatment of intrauterine pathology. Objective: To review the role of hysteroscopy in evaluation of infertility. Method: The study group includes 100 infertile women presenting to OPD during the period January 2017 -July 2018. This retrospective study was conducted at Department of Gynecology in AIIMS Patna. Patients aged 21-42 years with infertility were included in this study. Results: Among 100 infertile women, abnormal hysteroscopic finding were seen in 52% of cases. The most common abnormality was intrauterine adhesion (46.4%). Cervico-isthmic abnormalities were present in 7.1%. Observed abnormalities were septate uterus 12.5%, submucous myoma 7.1 %, endometrial polyp was seen in 23.4 %. Uterine cavity was normal in 88% cases, deformed cavity in 12 % of cases. Conclusion: Intrauterine adhesion were the most frequent abnormal finding in patient evaluated for infertility. Hysteroscopy is valuable diagnostic and therapeutic modality in management of infertility. Subject Area: obstetrics and Gynaecology.