The role of diagnostic hysteroscopy and endometrial biopsy in assisted reproductive technologies

Giovanni B. La Sala, Rossella Montanari, Luisella Dessanti, Corrado Cigarini, Fabrizio Sartori

Research output: Contribution to journalArticle

Abstract

Objective: To study the incidence of unsuspected endouterine abnormalities in patients for whom IVF-ET repeatedly fails. Design: Prospective study. Setting: Infertility Unit of the Department of Obstetrics and Gynecology, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy. Patient(s): One hundred patients for whom two IVF-ET cycles failed in which ≤2 good-quality embryos were transferred. Intervention(s): In-office diagnostic hysteroscopy and endometrial biopsy. Main Outcome Measure(s): Relation between IVF-ET failure and unsuspected endouterine abnormalities. Result(s): In 18 patients, hysteroscopy showed an important unsuspected endouterine abnormality. Fifteen of these patients did not become pregnant after IVF-ET, and 3 became pregnant but had a spontaneous abortion. Histologic examination of the endometrium revealed chronic endometritis in 1 patient and tuberculous endometritis in another. Conclusion(s): Previous studies have reported that the incidence of endouterine abnormalities is high in patients undergoing IVF-ET. Our data confirm the previous reports and lead us to conclude that diagnostic hysteroscopy should be performed on all patients before they undergo IVF-ET.

Original languageEnglish
Pages (from-to)378-380
Number of pages3
JournalFertility and Sterility
Volume70
Issue number2
DOIs
Publication statusPublished - Aug 1998

Fingerprint

Hysteroscopy
Assisted Reproductive Techniques
Biopsy
Endometritis
Hospital Obstetrics and Gynecology Department
Spontaneous Abortion
Endometrium
Gynecology
Infertility
Italy
Cohort Studies
Embryonic Structures
Outcome Assessment (Health Care)
Prospective Studies
Incidence

Keywords

  • Diagnostic hysteroscopy
  • Endouterine abnormalities
  • IVF-ET

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

The role of diagnostic hysteroscopy and endometrial biopsy in assisted reproductive technologies. / La Sala, Giovanni B.; Montanari, Rossella; Dessanti, Luisella; Cigarini, Corrado; Sartori, Fabrizio.

In: Fertility and Sterility, Vol. 70, No. 2, 08.1998, p. 378-380.

Research output: Contribution to journalArticle

La Sala, Giovanni B. ; Montanari, Rossella ; Dessanti, Luisella ; Cigarini, Corrado ; Sartori, Fabrizio. / The role of diagnostic hysteroscopy and endometrial biopsy in assisted reproductive technologies. In: Fertility and Sterility. 1998 ; Vol. 70, No. 2. pp. 378-380.
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