Publication:

Hysteroscopic evaluation of endometrial cavity in cases of unexplained infertility patients less than 35 years old

Background The incidence of un explained infertility about 22-28% of all infertile couples. Several strategies have been implemented to improve the outcome of infertility treatment before shifting to ART. Management of unexplained infertility depends on patients age, ovarian reserve and period of infertility, management starts from simple to more complicated protocols to achieve pregnancy up to assisted reproduction techniques. Hysteroscopy provides diagnostic and therapeutic approach in such group of patients.

Methods Retrospective analysis of the reproductive outcome in young patients with unexplained infertility was conducted to evaluate such treatment protocol 163 patients included in the study.

Results Our results showed that around 29.4% of patients had intrauterine abnormalities which varies from endometrial polys to adhesions and one case found to have cervical stenosis, around 12.17% had endometritis. Patient were left for expectant management for 6 months, 22.7% pregnancy rate following hysteroscopy without any other intervention, patients who had polypectomy got 28% pregnancy rate while patients with apparent normal endometrial cavity got 23.76% pregnancy rate.

Conclusions Hysteroscopy could be an alternative treatment option in young patients with unexplained infertility because of its diagnostic and therapeutic effect.