scholarly journals Role of hysteroscopy for diagnosis and treatment of uterine factors affecting subfertility

2018 ◽  
Vol 7 (12) ◽  
pp. 4882
Author(s):  
Nayana DH ◽  
Shreya S.
Keyword(s):  
Health Centre ◽  
Therapeutic Interventions ◽  
Secondary Infertility ◽  
Endometrial Polyps ◽  
Septate Uterus ◽  
Operative Hysteroscopy ◽  
Factors Affecting ◽  
Uterine Septum ◽  
Intrauterine Abnormalities

Background: Hysteroscopy has become the gold standard for diagnosis of intrauterine abnormalities. Intrauterine lesions such as adhesions, uterine septum polyps or submucous myomas are diagnosed much more precisely by hysteroscopy and are detectable in 10-15% of women seeking treatment for subfertility. The present study analyses various etiological factors in infertility diagnosed by hysteroscopy and to evaluate therapeutic interventions done during hysteroscopy.Methods: The cases for the study will include all women with primary or secondary infertility admitted in tertiary health centre from April 2016 to May 2018 for hysteroscopy.Results: Out of 90 subjects 66 (73.3%) were primary infertility and 24 (26.7%) were secondary infertility. Out of 90 cases studied, 68 (75.6%) had normal findings, 10 (11.1%) had endometrial polyps, 01 (1.1%) had submucous fibroid, 5 (5.6%) had septate uterus, hyperplastic endometrium in 3 (3.3%) and atropic endometrium in 1 (1.1%), intrauterine adhesions and hypoplastic uterus in 1 each. Hysteroscopic interventions were performed in the form of curettage in 08 (33.3%), hysteroscopic cannulation in 2 (8.3%), polypectomy and septal resection in 5 (20.8%) cases each, submucosal fibroid resection in 1 (4.2%) cases, tubal block released in 2 (8.3%).Conclusions: Hysteroscopy was found the best method in evaluation of intrauterine conditions for subfertility and also the type and location of uterine abnormalities can be precisely noted. The removal of those changes during operative hysteroscopy increases the fertility rate in women treated during this procedure.

scholarly journals Should Diagnostic Hysteroscopy be a Routine Procedure During Diagnostic Laparoscopy in Infertile Women?

2008 ◽  
Vol 8 (1) ◽  
pp. 44-47 ◽  
Author(s):  
Zulfo Godinjak ◽  
Edin Idrizbegović
Keyword(s):  
Diagnostic Laparoscopy ◽  
Diagnostic Tools ◽  
Routine Procedure ◽  
Endometrial Polyps ◽  
Septate Uterus ◽  
Infertile Women ◽  
Uterine Anomalies ◽  
Diagnostic Hysteroscopy ◽  
Infertile Patients

The aim of this study was to clarify the role of simultaneous combined diagnostic approach using laparoscopy and hysteroscopy in the evaluation of female infertility.In a retrospective study, 360 infertile women underwent complete fertility evaluation. All the patients were examined by simultaneous combined laparoscopy and hysteroscopy as a part of the routine infertility evaluation.Laparoscopy and hysteroscopy were successful in 360 patients. Bilateral tubes were blocked in 18 (5%) and unilateral tubal occlusion were in 30 (8,33%) of patients. Pelvic adhesions were revealed in 40 (11,11%), and myomas in 42 (11,65%) out of that 31 (8,6%) were revealed by laparoscopy and 11 (3,05%) by hysteroscopy. Endometrial polyps were revealed in 26 (7,22%) and Syndrome Asherman in 3(0,83%) of patients. Uterine anomaly was found in 19 (5,27%) of cases and out of that septate uterus in 7 (37,15%), bicornuate uterus in 5 (26,31%), arcuate uterus in 4 (21,26%) and uterus unicornu cum cornu rudimentario in 3 (15,27%) of uterine anomalies. Endometriosis was found in 51 (14,16%), dermoid cysts in 8 (2,22%) and in 16 (4,44%) functional cysts of patients. Also, Fitz-Hugh- Curtis syndrome was revealed in 23 (6,11%) of our patients.Laparoscopy and hysteroscopy play very important role as diagnostic tools in the infertility women. Combined diagnostic simultaneous laparoscopy and hysteroscopy should be performed in all infertile patients before the treatment.

Role of operative hysteroscopy in the removal of endometrial polyps

2002 ◽  
Vol 9 (3) ◽  
pp. S69-S70 ◽  
Author(s):  
F Ghezzi ◽  
P Beretta ◽  
E Bernasconi ◽  
A Cromi ◽  
E Di Naro ◽  
...  
Keyword(s):  
Endometrial Polyps ◽  
Operative Hysteroscopy

scholarly journals What Is the Role of Hysteroscopic Surgery in the Management of Female Infertility? A Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Márcia Mendonça Carneiro
Keyword(s):  
Observational Studies ◽  
Female Infertility ◽  
Endometrial Polyps ◽  
Hysteroscopic Surgery ◽  
Randomized Controlled ◽  
Current Fertility ◽  
Intrauterine Abnormalities ◽  
Randomised Controlled ◽  
Available Information

The position of hysteroscopy in current fertility practice is under debate. There are many randomized controlled trials on technical feasibility and patient compliance demonstrating that the procedure is well tolerated and effective in the treatment of intrauterine pathologies. However, no consensus on the effectiveness of hysteroscopic surgery in improving the prognosis of subfertile women is available. A literature review was performed to explore the available information regarding the role of hysteroscopy in the evaluation and management of female infertility as well as to ascertain evidence that treatment of these uterine abnormalities improves fertility. The debate regarding the role of hysteroscopic surgery in the management of female infertility remains as the published studies did not reach a consensus on the benefit of such an intervention in this setting. The randomized trials do not clearly demonstrate that surgical correction of all intrauterine abnormalities improves IVF outcome. However, published observational studies suggest a benefit for resection of submucosal leiomyomas, adhesions, and endometrial polyps in increasing pregnancy rates. More randomised controlled studies are needed to substantiate the effectiveness of the hysteroscopic removal of suspected intrauterine pathology in women with unexplained subfertility or prior to assisted reproductive technology.

scholarly journals Role of routine hysteroscopy in previous failed ICSI: a continuous clinical dilemma

2019 ◽  
Vol 43 (1) ◽  
Author(s):  
Emad Al-Temamy ◽  
Fahd El-Omda ◽  
Sameh Salama ◽  
Sondos Salem ◽  
Mazen Abd ElRasheed ◽  
...  
Keyword(s):  
Pregnancy Rate ◽  
Clinical Pregnancy ◽  
Clinical Pregnancy Rate ◽  
Mucin 1 ◽  
Submucous Myoma ◽  
Uterine Septum ◽  
Clinical Dilemma ◽  
Intrauterine Abnormalities ◽  
Implantation And Pregnancy Rates

Abstract Background The benefit of hysteroscopy could extend beyond the treatment of intrauterine abnormalities. Irrigation of the cavity with saline may have a beneficial effect on implantation and pregnancy rates, since saline mechanically washes harmful anti-adhesive glycoprotein molecules on the endometrial surface involved in endometrial receptivity, i.e., cyclooxygenase-2 (COX-2), mucin-1 (MUC-1), and integrin. Objective The aim of this study is to evaluate the role and benefit of routine hysteroscopy prior to ICSI in women with previous failed ICSI. Patients and methods This prospective study has been carried out, at the outpatient clinic, on 100 women that have undergone hysteroscopy as a part of the infertility workup. Women were categorized into three groups according to the number of previous failed IVF/ICSI, once (n = 37), twice (n = 33), and thrice (n = 30). Results After analyzing the data, we found that hysteroscopy was associated with 39% overall clinical pregnancy rate in women with previous/repeat IVF/ICSI failure. Treatment of polyp was associated with 58.3% clinical pregnancy rate (NNT = 1.71). Treatment of intrauterine adhesions was associated with 16.7% clinical pregnancy rate (NNT = 6). Treatment of submucous myoma and uterine septum showed a 75% and 50% clinical pregnancy rate, respectively. Conclusion Hysteroscopic examination in women with previous failed ICSI may improve pregnancy rate even in the absence of uterine pathology. Consequently, hysteroscopy examination may be proposed as a routine step prior to ICSI in case of previous failure.

scholarly journals Role of Diagnostic Hysterolaparoscopy in the Evaluation of Infertility - A Prospective Study from Telangana, India

2021 ◽  
Vol 10 (32) ◽  
pp. 2640-2644
Author(s):  
Arjumand Bano ◽  
Parvathapuram Sneha
Keyword(s):  
Comprehensive Evaluation ◽  
Economic Consequences ◽  
Reproductive Age ◽  
Medical Sciences ◽  
Male Factor ◽  
Secondary Infertility ◽  
Uterine Malformation ◽  
Uterine Septum ◽  
A Prospective Study

BACKGROUND Infertility is a multidimensional health problem with social and economic consequences. Infertility affects about 10 - 15 % of reproductive age couples. 1 Hysterolaparoscopy is safe and effective method to diagnose infertility. The purpose of this study was to determine the role of diagnostic hysterolaparoscopy in the evaluation of infertility in Chalmeda Anand Rao Institute of Medical Sciences. METHODS A prospective hospital-based study was carried out in Chalmeda Anand Rao Institute of Medical Sciences over a period of 1 year from August 2019 to July 2020. Hysterolaparoscopy was done in 100 patients. Women aged 20 - 40 years with normal hormone profile without male factor infertility were included. RESULTS 100 patients with infertility were undertaken, 70 (70 %) women had primary infertility and the remaining 30 (30 %) had secondary infertility. Ovarian pathology (30 %), endometriosis (23 %), tubal pathology (14 %) and pelvic adhesion (14 %) were the most well-known anomalies recognized in laparoscopy in both primary and secondary infertility. Uterine septum was major intrauterine pathology seen in two gatherings. Out of 12 patients having uterine malformations, most regular uterine malformation in both the gatherings was 9 uterine septum and 2 unicornuate and 1 was hypoplastic uterus. CONCLUSIONS Combined hysterolaparoscopy is a safe, effective, and reliable method in comprehensive evaluation of infertility. It helps in the diagnosis of pelvic pathology which is missed by routine pelvic examinations and basic investigations done for evaluation of infertility. Hysterolaparoscopy gives the added advantage of doing a therapeutic procedure in the same sitting. Thus, hysterolaparoscopy may be considered as gold standard and definitive investigative day-care procedure for evaluation of female infertility. KEY WORDS Hysteroscopy, Infertility, Laparoscopy

scholarly journals The Prevalence and Pattern of Abnormal Hysteroscopy Findings among Subfer-tile Patients at Albayda Fertility Centre/Libya

2020 ◽  
Vol 35 (1) ◽  
pp. 37-45
Author(s):  
Agzail S Elhddad ◽  
Zamzam Shaban
Keyword(s):  
Prospective Study ◽  
Uterine Cavity ◽  
Endometrial Polyps ◽  
Infertile Women ◽  
Spontaneous Pregnancy ◽  
Uterine Septum ◽  
Diagnostic Hysteroscopy ◽  
Intrauterine Abnormalities ◽  
A Prospective Study

To estimate the prevalence and types of intrauterine abnormalities in subfertile women: a prospective study was carried out at Albayda Fertility Teaching Centre-Libya. The study was conducted on 115 infertile women attending Albayda Fertility Centre between January and May 2019. Diagnostic hysteroscopy was conducted after initial basic infertility assessment workup to assess the presence and types of uterine cavity pathologies. The duration of infertility ranged from 1-17 years, and the majority of the patients were presented with primary infertility (62.6%), 64.3% of the women had abnormal findings, and the most common lesion detected was endometrial polyp representing 44.6% of the lesions, followed by endometritis 17.6%. Seven cases had septum, and 20 patients had more than one pathology. Corrective measures were taken accordingly. 6.1% of the patients had a spontaneous pregnancy within three months of follow up. The prevalence of abnormal hysteroscopy findings among the studied population was high. Intrauterine endometrial polyps, endometritis, and uterine septum were the most frequent abnormality detected. These findings may indicate a need to incorporate hysteroscopy in the routine evaluation of infertility.

GERMAS ( Gerakan Masyarakat Hidup Sehat) Di Desa Rambah Hilir

2020 ◽  
Vol 3 (1) ◽  
pp. 100
Author(s):  
Elvira Junita ◽  
Yuli Handayani ◽  
Lufita Nur Alfiah
Keyword(s):  
Fruits And Vegetables ◽  
Healthy Lifestyle ◽  
Health Centre ◽  
Health Check ◽  
Community Partnership ◽  
Health It ◽  
Community Members ◽  
Healthy Life ◽  
Partnership Program

AbstrakPermasalahan kesehatan yang timbul saat ini merupakan akibat dari perilaku hidup yang tidak sehat. Gaya hidup yang kurang baik mengakibatkan tingginya angka kejadian Penyakit Tidak Menular, Di Desa Rambah Hilir kunjungan penderita hipertensi dan diabetes di Puskesmas Rambah Hilir I di tahun 2018 ini sampai bulan Juni 66 kasus Hipertensi 27 Kasus Diabetes. Gerakan Masyarakat Hidup Sehat (GERMAS) merupakan progam Pemerintah untuk mengajak masyarakat hidup sehat dengan focus pada 3 kegiatan utama yaitu melakukan aktifitas fisik, makan buah sayur dan cek kesehatan secara rutin minimal enam bulan sekali.Dalam Program Kemitraan Masyarakat ini upaya yang dilakukan adalah meningkatkan gaya hidup sehat yakni meningkatnya aktifitas fisik yang dilakukan dengan melaksanakan kegiatan rutin senam bersama setiap hari minggu dan meningkatkan konsumsi buah dan sayur dengan memanfaatkan lahan perkarangan rumah warga dengan menanam buah dan sayur dihalaman rumah untuk memenuhi kebutuhan konsumsi buah dan sayur. Upaya Peningkatan peran masyarakat dalam memeriksakan kesehatannya dengan mendirikan posko kesehatan untuk memudahkan masyarakat dalam memeriksa kesehatannya. Luaran yang telah dicapai adalah Adanya kegiatan senam rutin, meningkatnya konsumsi buah dan sayur dengan Adanya tanaman buah dan sayur disetiap rumah warga, makan buah dan sayur bersama setiap hari minggu, Adanya pemeriksaan kesehatan secara berkala.Abstract.Health problems that currently emergeare resulted from unhealthy living behaviours. A bad lifestyle causes an increase innon-communicable diseases cases. According to patient visit data until June 2018 at the community health centre (Puskesmas) Rambah Hilir I, Rambah Hilir Village, Rokan Hulu, Riau, it shows that there were 66 cases of hypertension and 27 cases of diabetes.The Healthy Life Society Movement (GERMAS) is a government program to encourage people to live a healthy lifestyle focusing on 3 main activities namely physical activities, eating vegetables, together with regular health check-upsat least once every 6 months. This community partnership program attempts to enhance the healthy lifestyle by intensifying physical activitiesthrough a routine collective exercise on every Sunday and increasing fruits and vegetables consumption. The community members’ yards are used as land to grow fruits and vegetables for meeting the community’s needs. Regarding the effort to improve the role of the community members to check their health, it was carried out by establishing a health post to facilitate them in checking-up their health. Outputs that have been achieved are the routine exercise; an increase in fruits and vegetables consumptionasthere are fruit and vegetable plants in every resident's houses; eating fruits and vegetables collectively on every Sunday; as well as regular health check-ups.

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