Are 3D ultrasound and office hysteroscopy useful for the assessment of uterine cavity after late foetal loss?

2018 ◽  
Vol 47 (5) ◽  
pp. 183-186 ◽  
Author(s):  
E. Thellier ◽  
J.-M. Levaillant ◽  
A.-G. Pourcelot ◽  
M. Houllier ◽  
H. Fernandez ◽  
...  
Keyword(s):  
Uterine Cavity ◽  
3D Ultrasound ◽  
Office Hysteroscopy ◽  
Foetal Loss

scholarly journals Prevalence of unsuspected uterine cavity abnormalities diagnosed by office hysteroscopy prior to in vitro fertilization

2010 ◽  
Vol 25 (8) ◽  
pp. 1959-1965 ◽  
Author(s):  
H. M. Fatemi ◽  
J. C. Kasius ◽  
A. Timmermans ◽  
J. van Disseldorp ◽  
B. C. Fauser ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Uterine Cavity ◽  
Office Hysteroscopy ◽  
Vitro Fertilization

scholarly journals Influence of Hysteroscopic Metroplasty on Reproductive Outcome in Patients with Infertility and Recurrent Pregnancy Loss

PRILOZI ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 95-103
Author(s):  
Gligor Tofoski ◽  
Vesna Antovska
Keyword(s):  
Reproductive Potential ◽  
Uterine Cavity ◽  
Live Birth Rate ◽  
Abortion Rate ◽  
Control Group ◽  
Reproductive Outcome ◽  
Chi Square ◽  
Foetal Loss ◽  
Uterine Anomalies ◽  
Before And After

Abstract Introduction: Patients with congenital uterine anomalies (CUA) have decreased reproductive potential and an unfavourable reproductive outcome compared to the population with normal uterine cavity. Patients with untreated CUA have a higher abortion rate, higher foetal loss rate and decreased live birth rate. Hysteroscopic metroplasty is a standard, safe and minimally invasive method for the treatment of correctible types of congenital uterine anomalies. The aim of the study was to analyse the reproductive outcome in certain groups of patients with CUA and infertility, before and after hysteroscopic metroplasty. Material and methods: We analyzed 115 patients on whom 129 hysteroscopic metroplasty interventions were performed at the University Clinic of Obstetrics and Gynaecology in Skopje over a one-year period, between 01.01.2011 and 31.12.2011. Patients and their reproductive outcome were monitored over a two-year period and the same group served as a control group, taking into account their previous reproductive history before and after metroplasty. Statistical analysis was performed using the Chi-square test and p < 0.05 was considered to be statistically significant. Results: The most common CUA were types 5b and 6, represented by 83.3%. In a follow-up period of two years, there were 55 patients with previous foetal loss treated by hysteroscopic metroplasty, and 31 of them had pregnancies. There was a statistically significant decrease of abortion rate from 88.5% to 19.3%, and a significant increase in term delivery rate from 2.3% to 71%. Conclusion: Hysteroscopic metroplasty significantly improves the reproductive outcome in patients with previous foetal loss.

Clinical Markers of Uterine Cavity Abnormalities Diagnosed by Office Hysteroscopy in an Infertile Population

2013 ◽  
Vol 20 (6) ◽  
pp. S43
Author(s):  
C.A. Souza ◽  
V.K. Genro ◽  
C. Schmitz ◽  
J. Caran ◽  
E. Eickhoff ◽  
...  
Keyword(s):  
Uterine Cavity ◽  
Clinical Markers ◽  
Office Hysteroscopy

scholarly journals Accuracy of a new hysteroscopic method in the assessment of tubal patency: Hysteroscopic Chromotubation

2018 ◽  
Vol 24 (2) ◽  
pp. 82
Author(s):  
Burak Yucel ◽  
Emine Demirel ◽  
Sefa Kelekci ◽  
Kerem Doga Seckin ◽  
Osama Shawki
Keyword(s):  
Methylene Blue ◽  
Cohort Study ◽  
Gold Standard ◽  
Uterine Cavity ◽  
High Sensitivity ◽  
Office Hysteroscopy ◽  
Predictive Values ◽  
Tubal Patency ◽  
Infertile Women ◽  
Sensitivity Specificity

<p><strong>Objective</strong></p><p>The aim of this study was to evaluate the diagnostic accuracy of hysteroscopic chromopertubation (HCT) in the assessment of tubal patency by comparing its results with laparoscopic chromopertubation (LCT).</p><p><strong>Study Design</strong></p><p>The population of this prospective cohort study consisted of both fertile and infertile women. Sixty-four women were included to the study. HCT was assessed by the observation of the transport of highly concentrated methylene blue from uterine cavity to tubal ostia. The results of HCT were compared with the results of LCT as a gold standard. The accuracy of HCT, sensitivity, specificity, positive and negative predictive values in diagnosing tubal patency were calculated.<strong></strong></p><p><strong>Results</strong></p><p>The results of HCT and LCT were evaluated for right and left tubes, separately. One hundred and twenty-eight tubes were determined. Sensitivity, specificity, positive and negative predictive values for HCT were; 85.85%, 59.09%, 91% and 46.43%, respectively.</p><p><strong>Conclusion </strong></p><p>This study’s result showed that HCT had high sensitivity and moderate specificity values in the assessment of tubal patency. HCT during office hysteroscopy could give the chance to practitioners to assess tubal patency without subjecting the patient to multiple procedures.<strong></strong></p>

scholarly journals Three-dimensional Transvaginal Ultrasound vs Office Hysteroscopy for Assessment of Uterine Cavity in Assisted Reproductive Program

2016 ◽  
Vol 8 (4) ◽  
pp. 290-293
Author(s):  
Ushma Patel
Keyword(s):  
Predictive Value ◽  
Transvaginal Ultrasound ◽  
False Negative ◽  
Three Dimensional ◽  
Uterine Cavity ◽  
Safe Procedure ◽  
Office Hysteroscopy ◽  
Diagnostic Efficacy ◽  
Menstrual Cycles ◽  
Negative Results

ABSTRACT Introduction The success of an assisted reproductive program (ARP) depends on the embryo quality and the intrauterine environment. It has been reported up until now that abnormal uterine findings occur in nearly 34 to 62% of infertile women worldwide. Due to this reason, uterine cavity evaluation is commonly recommended to screen for fibroids, polyps, adhesions, and mullerian abnormalities. Uterine cavity evaluation is usually accomplished with three-dimensional (3D) transvaginal ultrasound (TVS), sonohysterography, hysterosalpingography, and office hysteroscopy (OH). Materials and methods Uterine cavity evaluation was carried out in 239 infertile females undergoing ARP with twodimensional (2D) followed by 3D vaginal ultrasonography on day 21 of their menstrual cycles. Later, OH was carried out on 5th or 6th day of menstrual cycles. Results Out of 239 women, 3D TVS was abnormal in 28 (11.71%) and OH was abnormal in 53 (22.17%). Three-dimensional TVS agreed with OH in 16 (30.18%) abnormal cases and 179 (93.71%) normal cases. False-positive results for 3D TVS were 12 (6.28%) and false-negative results were 37 (69.81%). In our study, sensitivity of 3D TVS was 30.1%, specificity was 93.7%, positive predictive value was 57.1%, and negative predictive value was 82.8%. Conclusion Office hysteroscopy is an easy and safe procedure and has a better diagnostic efficacy than 3D TVS for uterine cavity evaluation in women undergoing ARP. How to cite this article Mishra VV, Patel U, Gandhi K. Threedimensional Transvaginal Ultrasound vs Office Hysteroscopy for Assessment of Uterine Cavity in Assisted Reproductive Program. J South Asian Feder Obst Gynae 2016;8(4):290-293.

scholarly journals Office hysteroscopy prior to ART cycle-analysis and outcome at a private IVF clinic setup in Surat, Gujarat, India

2017 ◽  
Vol 6 (2) ◽  
pp. 611
Author(s):  
Meeta Mohan Mahale ◽  
Purnima Kishore Nadkarni ◽  
Kishore Mohan Nadkarni ◽  
Pooja Prabhakar Singh ◽  
Aditi Akshay Nadkarni ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Pregnancy Rate ◽  
Multiple Pregnancy ◽  
Uterine Cavity ◽  
Standard Test ◽  
Office Hysteroscopy ◽  
Miscarriage Rate ◽  
Infertile Women ◽  
Diagnostic Hysteroscopy ◽  
Multiple Pregnancy Rate

Background: Hysteroscopy is a gold standard test for assessing the uterine cavity. The presence of uterine pathology may negatively affect the chance of implantation .This study investigated the use of routine office hysteroscopy and correction of any intrauterine pathologies prior to starting IVF cycle on treatment outcome in women seeking IVF treatment for primary infertility and recurrent implantation failure.Methods: This was a retrospective study of 100 women who attended our infertility clinic from July 2016 to December 2016 and who were willing for office hysteroscopy. The main outcomes measured were clinical pregnancy rates achieved in the index IVF cycle, multiple pregnancy rate, ectopic pregnancy rate, miscarriage rate and failure rate.Results: Of the 100 patients who participated in the study, 75 patients conceived, 25 patients failed to conceive. 80.64% patients with normal findings on diagnostic hysteroscopy conceived after the procedure, 58.33% patients conceived after polypectomy, 68.42% conceived after septal resection, 71.42% conceived after adhesiolysis, 50% conceived after lateral metroplasty and 73.07% of recurrent implantation failure conceived after local endometrial injury was done on hysteroscopy.Conclusions: Hysteroscopy in infertile women prior to their IVF cycle when performed atleast 3 months in advance could improve treatment outcome.

scholarly journals Povidone-iodine versus normal saline solution in preoperative vaginal cleansing before office hysteroscopy: a randomized controlled trial

2017 ◽  
Vol 7 (1) ◽  
pp. 5
Author(s):  
Ahmed M. Abbas ◽  
Asmaa S. Shaltout ◽  
Shymaa S. Ali ◽  
Armia Michael ◽  
Ahmed Altraigey ◽  
...  
Keyword(s):  
Normal Saline ◽  
Povidone Iodine ◽  
Controlled Trial ◽  
Uterine Cavity ◽  
Office Hysteroscopy ◽  
Postoperative Infections ◽  
Postoperative Fever ◽  
Group I ◽  
Significant Difference ◽  
The Difference

Background: Hysteroscopy is well-thought-out the gold standard for assessing the uterine cavity, and now can be done as an office process due to enhanced endoscopic advances with no need to in-patient admission. Objective of the present study was to compare the difference in the rate of postoperative vaginal irritation symptoms and postoperative infections after using povidone iodine (PI) and normal saline (NS) solution in vaginal cleaning before outpatient office hysteroscopy (OH).Methods: Women attended to the hospital for diagnostic OH were included for present study. Eligible women were randomly allocated in a 1:1 ratio to two groups. Group I "PI group" women exposed to PI for vaginal cleansing before hysteroscopy, and group II "NS group” women exposed to the NS solution for vaginal cleansing. The primary outcome of the study was to compare the difference in the rate of postoperative vaginal irritation symptoms and postoperative infections in both groups.Results: The mean age of the study participants was 34.26±4.14 years for NS group compared to 35.22±4.01 years for PI group (p=0.652). The PI group reported higher rate of vaginal irritation than NS group with no statistically significant difference between the two groups (p=0.179). Both groups were similar in postoperative fever, urinary tract infection and vaginitis (p>0.05).Conclusions: This study concluded that preoperative vaginal disinfection at the time of OH with a NS solution is less frequently causing postoperative vaginal irritation symptoms. Additionally, it is as effective as the usual agent (PI) in preventing postoperative infections.

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