[Systematic hysteroscopy prior to in vitro fertilization].
OBJECTIVE
To evaluate the benefits of a diagnostic hysteroscopy prior to in vitro fertilization.


METHODS
We retrospectively studied 145 patients who underwent ICSI during a period of 6 months. Office hysteroscopy was systematically performed before the first stimulation cycle. If pathological findings were revealed, appropriate medical or surgical treatment was given.


RESULTS
Pathological patterns were observed in 45% of hysteroscopies. Endometritis, polyps and myomas and mucosal diseases were the most frequently observed. The patients aged over 38 years didn't show higher rate of pathology (29% vs 27% for the younger patients). The treatment of pathologies gave the same pregnancy rate than the normal cavities. Patients with endometritis were treated with antibiotics and 40% of them became pregnant in the following cycle.


CONCLUSIONS
Systematic hysteroscopy prior to IVF-ICSI showed to be an effective investigation that could improve the pregnancy rate.
Féghali
J
J
Service de gynécologie-obstétrique, centre hospitalier intercommunal Jean-Rostand, 141, Grande-Rue, 92318 cedex, Sèvres, France.
Bakar
J
J
Mayenga
J M
JM
Ségard
L
L
Hamou
J
J
Driguez
P
P
Belaisch-Allart
J
J
D000328:Adult; D004716:Endometritis / Q000473:pathology / Q000601:surgery; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D015907:Hysteroscopy / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000379:methods*; D011127:Polyps / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery
Hystéroscopie systématique avant fécondation in vitro.