Hysteroscopic Findings and Interventions at A Private Fertility Centre

Abstract

Background-Hysteroscopy is the gold standard modality in assessing and treating intrauterine abnormalities that may affect fertility.

Objectives- To review the indications, findings, type of hysteroscopic surgeries and complications of hysteroscopy.

Methods- This study was conducted over a two year period. The data for 341 consecutive women were collected and reviewed. Statistical analysis was done using Microsoft Excel.

Results- In this review 336(98.8%) of hysteroscopies were done for the evaluation and treatment of women with infertility. Intrauterine adhesions (IUA) were the most common findings at hysteroscopy, 80(23.5%) had IUA alone and 13(3.8%) of the women had IUA coexisting with other intrauterine abnormalities. Endometrial polyp was the second most common abnormality seen alone (55(16.1%)) or in combination with other intrauterine abnormalities (10(3.8%).   Hysteroscopic adhesiolysis was done in 93(38.3%) women followed by polypectomy with a frequency of 68(28.2%). There were 5(1.5%) women who had complications, 3(0.9%) of the women had uterine perforation.

Conclusion- Evaluation and treatment of infertility was the commonest indication for hysteroscopy. Intrauterine adhesions were the commonest findings at hysteroscopy. Intrauterine adhesiolysis was the most frequently performed operative procedure. The most common complication encountered was uterine perforation.

Key words- Hysteroscopy, Indications, Findings, Complications, Laser, Infertility, Intrauterine adhesions, Uterine perforation