Factors increasing the detection rate of intrauterine lesions on hysteroscopy in infertile women with sonographically normal uterine cavities
Journal
Journal of the Formosan Medical Association
Journal Volume
118
Journal Issue
1P3
Pages
488-493
Date Issued
2019
Author(s)
Abstract
Background: Detection of intrauterine lesions is important for infertile women, as the uterine cavity is the site for embryo growth. This study aims to investigate factors that increase the detection rate of intrauterine lesions on office hysteroscopy in infertile women with sonographically normal uterine cavities. Methods: We retrospectively enrolled 1726 infertile women who had normal uterine cavities on two-dimensional transvaginal sonography. Office hysteroscopy was performed in the early proliferative phase of the menstrual cycle. Results: Intrauterine lesions were detected in 260 (15.1%) of the 1726 women. In women who suffered from abnormal uterine bleeding (AUB), hypomenorrhea or had a history of dilation and curettage (D&C), the detection rates of intrauterine lesions on office hysteroscopy were 41.4%, 22.2% and 19.4%, respectively. The predictive rate of abnormal hysteroscopic finding was 22.4% in women with at least one of these three clinical features, while it was 9.6% in those without. Conclusion: AUB, hypomenorrhea, and previous D&C are the three factors that increase the detection rate of intrauterine lesions on office hysteroscopy in infertile women with sonographically normal uterine cavities. ? 2018
SDGs
Other Subjects
adult; Article; cesarean scar defect; clinical feature; echography; embryo growth; endometritis; endometrium polyp; female; female infertility; human; hysteroscopy; intrauterine adhesion; major clinical study; menstrual cycle; myoma; oligomenorrhea; prenatal disorder; retrospective study; scar; tortuous cervical canal; transvaginal echography; two-dimensional imaging; unicornuate uterus; uterine cervix disease; uterine septum; uterus bleeding; uterus cavity; uterus disease; diagnostic imaging; echography; hysteroscopy; multivariate analysis; pathology; regression analysis; statistics and numerical data; Taiwan; uterus; uterus disease; Adult; Female; Humans; Hysteroscopy; Infertility, Female; Multivariate Analysis; Regression Analysis; Retrospective Studies; Taiwan; Ultrasonography; Uterine Diseases; Uterus
Type
journal article