title: The Value of Routine Hysteroscopy before the First Intracytoplasmic Sperm Injection Treatment Cycle.
abstract: OBJECTIVE
  To assess uterine cavity with office hysteroscopy in order to diagnose and treat pathologies in patients who have started their first intracytoplasmic sperm injection (ICSI) cycles and evaluate its impact on pregnancy rate.
  
  
  METHODS
  A number of 220 infertile women scheduled for ICSI participated in this prospective randomized study. They were randomly divided into 2 equal groups. Group I (intervention) underwent office hysteroscopy before starting assisted reproductive techniques (ART) cycle. Group II (control) started ART cycles without office hysteroscopy. All women had normal transvaginal ultrasonography and hysterosalpingography. The detected intrauterine abnormalities were treated during hysteroscopy. Four weeks after embryo transfer, ultrasonography was done for detecting clinical pregnancy.
  
  
  RESULTS
  Abnormal findings were seen in hysteroscopy in 22.7% of the intervention group. The pregnancy rate in the intervention group (48.20%) was significantly higher than that in the control group (38.60%; p = 0.004).
  
  
  CONCLUSIONS
  Routine office hysteroscopy before ICSI cycles provides direct evaluation of uterine cavity. Also, pregnancy rate improves after correction of endometrial cavity abnormalities.
authors.affiliation: Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Ashraf
authors.initials: A
authors.lastname: Alleyassin
authors.forename: Ameneh
authors.initials: A
authors.lastname: Abiri
authors.forename: Marzieh
authors.initials: M
authors.lastname: Agha-Hosseini
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Sarvi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000592:standards*; D007247:Infertility, Female / Q000175:diagnosis* / Q000628:therapy*; D010043:Outcome and Process Assessment, Health Care; D011247:Pregnancy; D020554:Sperm Injections, Intracytoplasmic / Q000379:methods*