Pathologic findings in hysteroscopy before in vitro fertilization-embryo transfer (IVF-ET).
BACKGROUND
The aim of this study was to evaluate hysteroscopy routinely performed prior to in vitro fertilization-embryo transfer (IVF-ET).


METHODS
We analyzed in a prospective study 300 patients who underwent hysteroscopy before the first IVF-ET cycle. We analyzed then in a retrospective manner 300 patients who did not perform hysteroscopy.


RESULTS
One-hundred-and-eighty (60%) hysteroscopies were normal but 120 (40%) revealed an unsuspected intrauterine abnormality. We did not find statistically significant differences between patients with normal or abnormal hysteroscopy in any characteristic. We found a statistically significant difference in pregnancy rate between women who performed hysteroscopy before IVF-ET cycle and in women who did not perform it.


CONCLUSIONS
Hysteroscopy, as a routine examination, should be performed before the first IVF-ET cycle in all patients.
Doldi
Nicola
N
IVF Unit, Obstetric-Gynecology Department, Vita-Salute University, H San Raffaele, Milan, Italy.
Persico
Paola
P
Di Sebastiano
Francesca
F
Marsiglio
Elena
E
De Santis
Lucia
L
Rabellotti
Elisa
E
Fusi
Francesco
F
Brigante
Claudio
C
Ferrari
Augusto
A
D000328:Adult; D004624:Embryo Transfer; D004714:Endometrial Hyperplasia / Q000175:diagnosis; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D015907:Hysteroscopy; D011127:Polyps / Q000175:diagnosis; D011247:Pregnancy; D011446:Prospective Studies; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000175:diagnosis; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000175:diagnosis*