El Helaly, A., Mohamed, K., ElKhateeb, H., Mansour, D. (2023). Role of Routine Hysteroscopy in Management of Women with Unexplained Infertility. test, 27(6), 40-48. doi: 10.21608/egyfs.2023.333775
Amr M. El Helaly; Khaled S. Mohamed; Hanan H. ElKhateeb; Dina Yahia Mansour. "Role of Routine Hysteroscopy in Management of Women with Unexplained Infertility". test, 27, 6, 2023, 40-48. doi: 10.21608/egyfs.2023.333775
El Helaly, A., Mohamed, K., ElKhateeb, H., Mansour, D. (2023). 'Role of Routine Hysteroscopy in Management of Women with Unexplained Infertility', test, 27(6), pp. 40-48. doi: 10.21608/egyfs.2023.333775
El Helaly, A., Mohamed, K., ElKhateeb, H., Mansour, D. Role of Routine Hysteroscopy in Management of Women with Unexplained Infertility. test, 2023; 27(6): 40-48. doi: 10.21608/egyfs.2023.333775

Role of Routine Hysteroscopy in Management of Women with Unexplained Infertility

The Egyptian Journal of Fertility and Sterility
Article 6, Volume 27, Issue 6 - Serial Number 11106352, November 2023, Pages 40-48    PDF (2.98 M)
Document Type: Original Article
DOI: 10.21608/egyfs.2023.333775
Authors
Amr M. El Helaly1; Khaled S. Mohamed1; Hanan H. ElKhateeb1; Dina Yahia Mansour* 2, 1
1Department of Obstetrics & Gynecology, Faculty of Medicine, Ain Shams University
2obstetrics & gynecology faculty of medicine Ain shams university Cairo Egypt
Abstract
Background: The gold standard for diagnosing intrauterine anomalies is now hysteroscopy. 10–15% of women undergoing subfertility treatment have intrauterine lesions such adhesions, uterine septum polyps, or submucous myomas, which are significantly more accurately detected via hysteroscopy.  
Objectives: Assessment of the value of hysteroscopy in cases with unexplained infertility.
Methodology: This study was conducted in early cancer detection unit, Ain Shams Maternity University Hospital where 75 women with unexplained infertility from 21-35 years were included in the study from Jan 2018 to Feb 2021. All women were subjected to hysteroscopy to diagnose and treat any uterine lesions undetected by the conventional means. Hysteroscopic examination was performed in the proliferative phase of the menstrual cycle.
Results: There was no difference between cases with and without hysteroscopic finding as regard personal and medical characteristics. There was no significant difference between cases with and without hysteroscopic finding as regard occurrence of complications. However, a highly significant difference was found between cases with and without hysteroscopic finding as regard occurrence of pregnancy, as 56% of cases with positive findings got pregnant compared to 2% only of cases without hysteroscopic finding.
Conclusion: So, hysteroscopy (diagnostic, therapeutic) should be performed in women with unexplained infertility.
Keywords
Keywords: Hysteroscopy; Unexplained infertility
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