Office hysteroscopy for infertility: a series of 557 consecutive cases.
Objective. To study incidence of abnormal hysteroscopic findings according to age. Methods. We retrospectively studied 557 consecutive office hysteroscopies in patients referred for incapacity to conceive lasting at least 1 year or prior to in vitro fertilization. Rates of abnormal findings were reviewed according to age. Results. In 219 cases, hysteroscopy showed an abnormality and more than a third of our population had abnormal findings that could be related to infertility. Rates of abnormal findings ranged from 30% at 30 years to more than 60% after 42 years. Risk of abnormal finding was multiplied by a factor of 1.5 every 5 years. Conclusion. Our data are an additional argument to propose office hysteroscopy as part of first-line exams in infertile woman, regardless of age.
Koskas
Martin
M
Department of Obstetrics and Gynecology, Hôpital Bichat, 46, rue Henri-Huchard, 75018 Paris, France.
Mergui
Jean-Luc
JL
Yazbeck
Chadi
C
Uzan
Serge
S
Nizard
Jacky
J
Fertil Steril. 1987 May;47(5):861-3
2436954
Acta Obstet Gynecol Scand. 1996 Aug;75(7):654-6
8822660
Hum Reprod. 2005 May;20(5):1386-9
15734762
Isr Med Assoc J. 2006 Mar;8(3):192-5
16599056
J Reprod Med. 2005 Jul;50(7):501-6
16130847
JSLS. 2006 Apr-Jun;10(2):231-5
16882426
Obstet Gynecol Clin North Am. 1995 Sep;22(3):507-18
8524534
Am J Obstet Gynecol. 1980 Jun 15;137(4):425-31
7386525
Contrib Gynecol Obstet. 1987;16:328-36
3691102
J In Vitro Fert Embryo Transf. 1990 Oct;7(5):267-70
2254691
Fertil Steril. 2000 Nov;74(5):1029-34
11056254
Hum Reprod. 1994 Dec;9(12):2353-5
7714157
Hum Reprod Update. 1999 Jan-Feb;5(1):73-81
10333371
J Reprod Med. 2006 Mar;51(3):169-76
16674011
Minerva Ginecol. 2001 Oct;53(5):313-9
11549995
J Obstet Gynaecol Res. 2003 Feb;29(1):33-7
12696625
J Obstet Gynaecol Res. 2004 Feb;30(1):9-14
14718013
J Obstet Gynaecol. 2005 Feb;25(2):153-9
15814395
Fertil Steril. 1998 Aug;70(2):378-80
9696242