title: Compliance and diagnostic efficacy of mini-hysteroscopy versus traditional hysteroscopy in infertility investigation.
abstract: OBJECTIVE
  The aim of this study was to compare traditional hysteroscopy with mini-hysteroscopy in terms of compliance, side effects and diagnostic efficacy.
  
  
  METHODS
  We prospectively considered 950 female candidates for an IVF programme. All women underwent outpatient hysteroscopy; in 602 cases (Group A) a mini-hysteroscope was employed; in 348 women (Group B) a 5-mm hysteroscope was adopted.
  
  
  RESULTS
  Cavity findings were similar in both groups. Endometrial polyps and uterine septum seem to be more frequent in our infertile patients than in the general population. No significant differences in terms of side effects were found between the groups. Mean visual analogue pain scale score was significantly lower in the patients of Group A than in those of Group B (p<0.001).
  
  
  CONCLUSIONS
  Office mini-hysteroscopy is a very effective diagnostic tool in an infertility work-up and is more widely accepted than traditional hysteroscopy. Routine use of the technique should be considered.
authors.affiliation: University of Naples Federico II, Obstetric and Gynaecological Sciences, Urologic and Reproductive Medicine, Via Pansini 5, 80131 Naples, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: De Placido
authors.forename: Roberto
authors.initials: R
authors.lastname: Clarizia
authors.forename: Camillo
authors.initials: C
authors.lastname: Cadente
authors.forename: Gennaro
authors.initials: G
authors.lastname: Castaldo
authors.forename: Carmine
authors.initials: C
authors.lastname: Romano
authors.forename: Antonio
authors.initials: A
authors.lastname: Mollo
authors.forename: Carlo
authors.initials: C
authors.lastname: Alviggi
authors.forename: Salvatore
authors.initials: S
authors.lastname: Conforti
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D020702:Hysteroscopes / Q000009:adverse effects*; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods*; D007247:Infertility, Female / Q000175:diagnosis*; D010147:Pain Measurement; D010349:Patient Compliance; D014599:Uterus / Q000002:abnormalities / Q000473:pathology