Hysteroscopy Findings in Failed IVF and their Influence on Pregnancy Outcome.

Objective: To identify and analyze the abnormal hysteroscopic findings in women with failed IVF, and their effect on pregnancy outcome. Methods and Materials: A simple, descriptive, non-randomized study of 245 patients was conducted at King Hussein medical center. All patients with failed IVF were referred to routine hysteroscopy in our hysteroscopic unit. The hysteroscopic finding was identified and recorded. The patients' ages ranged from 20 to 38 years and duration of infertility ranged from 5-10 years. Results: Uterine cavity was normal in 75% of the cases, while sixty one (25%) patients showed abnormal hysteroscopic findings of the cervical canal and uterine cavity (endometrium). The abnormal hysteroscopic findings seen were: intramural myoma: 26 cases, endometrial polyp: 19 cases, isthmic abnormalities were present in 8% (5 cases), endometrial hyperplasia in 3 cases, intrauterine adhesion (synechiae): 4 cases, and septate uterus in 4 cases. Conclusion: Patients with recurrent IVF embryo transfer failures should be reevaluated using hysteroscopy prior to further commencing IVF-embryo transfer cycles. Hysteroscopy is part of first-line exams in infertile woman regardless of age. [ABSTRACT FROM AUTHOR]