THERAPEUTIC HYSTEROSCOPY IN INFERTILITY

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  • 1 January 1984
    • journal article
    • research article
    • Vol. 29  (3) , 143-148
Abstract
Hysteroscopic treatment was provided for 122 of 139 women complaining of primary or secondary infertility. Hysteroscopy revealed intrauterine lesions and the following treatments were carried out: lysis of intrauterine adhesions (61), removal of large endometrial polyps (47), removal of submucous leiomyomas (4), removal of embedded fragmented IUD (4), division of uterine septa (3) and treatment of other unusual conditions (3). The reproductive outcome included 46 term pregnancies, 28 following the division of intrauterine adhesions, 11 after the removal of endometrial polyps, 2 after correction of a septate uterus, 1 after removal of a pedunculated intrauterine leiomyoma and 4 after removal of different foreign bodies. There were 8 spontaneous 1st trimester abortions, and 1 ectopic pregnancy. Removal of the lesion and restoration of a symmetric uteine cavity was successful in 119 patients; only 3 failures occurred, in patients with severe Asherman''s syndrome.

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