The outpatient hysteroscopy failure rate is less than half (2%) with the mini-hysteroscopy compared with the traditional 5 mm hysteroscopy (5%).
Hysteroscopy done at the time of Laparoscopy, has low complication rate, high requirement and adds little equipment & cost.
Positive hysteroscopy findings are found in many cases (15 %) despite having normal HSG and no suggestive history of uterine lesions.
In IVF program patients with normal historiography but abnormal hysteroscopy findings had a significantly lower clinical PR, demonstrating the importance of performing hysteroscopy before IVF.
Therefore it is recommended that Diagnostic Hysteroscopy should be performed on all patients before they undergo IVF.
By -Dr. Safia Munir