What is Hysteroscopy
Hysteroscopy is minimally invasive surgical procedure for viewing the inside the uterus. Hysteroscopy is carry out by putting a visualizing scope through the vagina and into the cervical opening. Hysteroscopy permit visualization of the interior of the uterus, as well as the hole to the Fallopian tubes as well as direct inspection of the cervix, cervical canal and vagina.
Importance of Diagnostic Hysteroscopy before IVF & ICSI Procedures
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
Consultant