Hysteroscopy as a Primary Tool in Exploration and Treatment of Infertility: Single Center Experience in Western Romania
| Autor: | Ioana Mihaela Citu, Florin Gorun, Denis Şerban, Oana Maria Gorun, Radu Neamtu, Cosmin Citu, Andrei Gheorghe Marius Motoc, Ioan Sas, Bogdan Burlea |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Infertility
Uterine synechiae medicine.medical_specialty Medicine (General) Uterine fibroids media_common.quotation_subject medicine.medical_treatment Clinical Biochemistry Fertility Article R5-920 medicine hysteroscopy infertility intrauterine abnormalities media_common Unexplained infertility medicine.diagnostic_test Obstetrics business.industry Retrospective cohort study medicine.disease Polypectomy Hysteroscopy business |
| Zdroj: | Diagnostics, Vol 11, Iss 1917, p 1917 (2021) Diagnostics; Volume 11; Issue 10; Pages: 1917 Diagnostics |
| ISSN: | 2075-4418 |
| Popis: | (1) Background: Infertility is a disease that affects millions of individuals worldwide. Intrauterine lesions are common in infertile women, hysteroscopy being considered the gold standard for assessing them, even if in routine clinical practice indirect imaging techniques are the first-line investigative tools. The aim of the study was to evaluate hysteroscopic findings among women with unexplained infertility and to analyze fertility outcomes after operative hysteroscopy; (2) Methods: a retrospective cohort study was conducted among 198 women with infertility that had undergone hysteroscopy as the first step of their infertility workup. (3) Results: The median age of the participants was 34 years, 67.7% of them being diagnosed with primary infertility. The most common abnormalities were endometrial polyps, uterine synechiae and uterine fibroids. In addition, pregnancy rates were 23.1% after hysteroscopic polypectomy, 11.1% after hysteroscopic myomectomy and 23.8% after uterine synechiae resection; (4) Conclusions: Endometrial polyps were the most common uterine abnormality found in women with infertility. Hysteroscopic interventions appeared to increase pregnancy rates and outcomes among these women. |
| Databáze: | OpenAIRE |
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