الفهرس | Only 14 pages are availabe for public view |
Abstract One of the basic steps of the infertility workup is to assess the shape and regularity of the uterine cavity. Historically, and still today as it turns out, the HSG has been the most commonly used test for this purpose. During the last two decades, however, several studies have demonstrated that when the uterine cavity has to be investigated within the infertility workup, hysteroscopy is much more accurate than HSG. Our study was conducted on 50 females who attended the outpatient clinical Cairo University hospital. Its objective was to assess the role of hysteroscopy in investigation of infertile women. The study was designed to investigate the role of hysteroscopy in determining the uterine cavity abnormalities that were missed during routine investigations of infertility as ultrasound and hysterosalpingography which were reported as normal. The study revealed presence of intrauterine polyps, submucous fibroids, intrauterine adhesions, Mullerian anomalies that were missed by standard infertility investigations. These lesions can be treated during hysteroscopy and their treatment may lead to successful conception as reported by some authors. Outpatient investigation is a comparatively new concept in gynecology. Patients may favor the outpatient approach because they spend less time in hospital. However, it is important to tailor the outpatient investigation to suit the particular patient, realizing that all methods of endometrial evaluation are complementary rather than competitive and that combining several modalities would yield more information than a single approach. HSG is still a useful screening test for the evaluation of the uterine cavity in the study of primary or secondary infertility. In addition, HSG provides information concerning the assessment of tubal morphology and patency. We believe that these two procedures are complementary in the evaluation of the uterine cavity. Keywords: Hysteroscopy Infertility Hysterosalpingography |