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2020 Month : June Volume : 9 Issue : 26 Page : 1908-1911

Study on the Role of Hysteroscopy in Evaluation of Infertility.

Chitta Ranjan Nayak1, Nihar Ranjan Behera2

Corresponding Author:
Dr. Nihar Ranjan Behera,
G-102, Utkal Vatika,
Jharpada Canal Road, PS-Laxmi Sagar,
Bhubaneswar-751006, Odisha, India.
E-mail: nihar_beheral18.5@rediffmail.com

ABSTRACT

BACKGROUND

The burden of infertility is on the rise and there has been a constant effort to improve and refine our diagnostic and treatment approach to the patients. Today most of the clinicians accept that complete infertility workup should include evaluation of the uterine cavity and many investigators consider hysteroscopy as the gold standard for this purpose. It is however a fact that it is still not widely used as a routine diagnostic procedure in the initial workup of infertile women by majority of the care givers. We wanted to evaluate the role of hysteroscopy in detecting the uterine factors associated with infertility.

METHODS

A prospective observational study was conducted in the department of obstetrics and gynaecology of SCB medical college, Cuttack from March 2018 to March 2019. One hundred infertile women were selected as study sample after considering the inclusion and exclusion criteria. Diagnostic hysteroscopy was performed in all with 5 mm 30-degree telescope.

RESULTS

It was possible to get a panoramic and magnified view of the endocervical canal, uterine cavity, cornu and ostia. Several uterine factors could be detected in as many as 15% of primary and 33% of secondary infertility cases. Most common pathologies detected were polyps, submucous myomas, septum, cornual fibrosis and intra uterine adhesions. The procedure was found to be quite informative, safe, easy to perform, acceptable to the study participants and without any major complications.

CONCLUSIONS

Hence, we could arrive at a conclusion that the initial evaluation of any infertile women should include diagnostic hysteroscopy which can accurately detect the uterine factors responsible for the inability to conceive and subsequently can improve the results of treatment.

KEY WORDS

Infertility, Initial Workup, Uterine Factors, Hysteroscopy

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