The Prevalence and Pattern of Abnormal Hysteroscopy Findings among Subfer-tile Patients at Albayda Fertility Centre/Libya
DOI:
https://doi.org/10.54172/mjsc.v35i1.212Keywords:
Hysteroscopy, Infertility, Intrauterine LesionAbstract
To estimate the prevalence and types of intrauterine abnormalities in subfertile women: a prospective study was carried out at Albayda Fertility Teaching Centre-Libya. The study was conducted on 115 infertile women attending Albayda Fertility Centre between January and May 2019. Diagnostic hysteroscopy was conducted after initial basic infertility assessment workup to assess the presence and types of uterine cavity pathologies. The duration of infertility ranged from 1-17 years, and the majority of the patients were presented with primary infertility (62.6%), 64.3% of the women had abnormal findings, and the most common lesion detected was endometrial polyp representing 44.6% of the lesions, followed by endometritis 17.6%. Seven cases had septum, and 20 patients had more than one pathology. Corrective measures were taken accordingly. 6.1% of the patients had a spontaneous pregnancy within three months of follow up. The prevalence of abnormal hysteroscopy findings among the studied population was high. Intrauterine endometrial polyps, endometritis, and uterine septum were the most frequent abnormality detected. These findings may indicate a need to incorporate hysteroscopy in the routine evaluation of infertility.
Downloads
References
Alleyassin, A., Abiri, A., Agha-Hosseini, M., & Sarvi, F. (2017). The value of routine hysteroscopy before the first intracytoplasmic sperm injection treatment cycle. Gynecologic and obstetric investigation, 82(2), 125-130.
Almog, B., Shalom-Paz, E., Dufort, D., & Tulandi, T. (2010). Promoting implantation by local injury to the endometrium. Fertility and sterility, 94(6), 2026-2029.
Bosteels, J., Kasius, J., Weyers, S., Broekmans, F. J., Mol, B. W. J., & D'Hooghe, T. M. (2015). Hysteroscopy for treating subfertility associated with suspected major uterine cavity abnormalities. Cochrane Database of Systematic Reviews(2).
Bradley, L. D. (2002). Complications in hysteroscopy: prevention, treatment and legal risk. Current Opinion in Obstetrics and Gynecology, 14(4), 409-415.
Cicinelli, E., Matteo, M., Tinelli, R., Lepera, A., Alfonso, R., Indraccolo, U., Marrocchella, S., Greco, P., & Resta, L. (2015). Prevalence of chronic endometritis in repeated unexplained implantation failure and the IVF success rate after antibiotic therapy. Human Reproduction, 30(2), 323-330.
Cicinelli, E., Resta, L., Nicoletti, R., Tartagni, M., Marinaccio, M., Bulletti, C., & Colafiglio, G. (2005). Detection of chronic endometritis at fluid hysteroscopy. Journal of minimally invasive gynecology, 12(6), 514-518.
Demirol, A., & Gurgan, T. (2004). Effect of treatment of intrauterine pathologies with office hysteroscopy in patients with recurrent IVF failure. Reproductive biomedicine online, 8(5), 590-594.
El-Mazny, A., Abou-Salem, N., El-Sherbiny, W., & Saber, W. (2011). Outpatient hysteroscopy: a routine investigation before assisted reproductive techniques? Fertility and sterility, 95(1), 272-276.
Elbareg, A., & Essadi, F. M. (2017). Impact of routine hysteroscopy (HS) prior to intrauterine insemination (IUI) on pregnancy rates (PR) among infertile couples at Al-Amal Hospital, Misurata, Libya. J Pregnancy Reprod, 1(4), 1-4.
Elsetohy, K. A. A. A., Askalany, A. H., Hassan, M., & Dawood, Z. (2015). Routine office hysteroscopy prior to ICSI vs. ICSI alone in patients with normal transvaginal ultrasound: a randomized controlled trial. Archives of gynecology and obstetrics, 291(1), 193-199.
Farag, A. H., Salama, M. H., & Badrous, E. S. (2019). Assessment of the prevalence of abnormal hysteroscopic findings in infertile women undergoing ART. The Egyptian Journal of Hospital Medicine, 75(3), 2433-2440.
Fatemi, H., Kasius, J., Timmermans, A., Van Disseldorp, J., Fauser, B., Devroey, P., & Broekmans, F. (2010). Prevalence of unsuspected uterine cavity abnormalities diagnosed by office hysteroscopy prior to in vitro fertilization. Human reproduction, 25(8), 1959-1965.
for Women’s, N. C. C., & Children’s Health, U. (2013). Fertility: assessment and treatment for people with fertility problems.
Galliano, D., Bellver, J., Díaz-García, C., Simón, C., & Pellicer, A. (2014). ART and uterine pathology: how relevant is the maternal side for implantation? Human reproduction update, 21(1), 13-38.
Greenwood, S. M., & Moran, J. J. (1981). Chronic endometritis: morphologic and clinical observations. Obstetrics & Gynecology, 58(2), 176-184.
Karayalcin, R., Ozcan, S., Moraloglu, O., Ozyer, S., Mollamahmutoglu, L., & Batıoglu, S. (2010). Results of 2500 office-based diagnostic hysteroscopies before IVF. Reproductive biomedicine online, 20(5), 689-693.
Makrakis, E., & Pantos, K. (2010). The outcomes of hysteroscopy in women with implantation failures after in-vitro fertilization: findings and effect on subsequent pregnancy rates. Current Opinion in Obstetrics and Gynecology, 22(4), 339-343.
Pasini, A., & Belloni, C. (2001). Intraoperative complications of 697 consecutive operative hysteroscopies. Minerva ginecologica, 53(1), 13-20.
Polisseni, F., Bambirra, E. A., & Camargos, A. F. (2003). Detection of chronic endometritis by diagnostic hysteroscopy in asymptomatic infertile patients. Gynecologic and obstetric investigation, 55(4), 205-210.
Potdar, N., Gelbaya, T., & Nardo, L. G. (2012). Endometrial injury to overcome recurrent embryo implantation failure: a systematic review and meta-analysis. Reproductive biomedicine online, 25(6), 561-571.
Pritts, E. A. (2001). Fibroids and infertility: a systematic review of the evidence. Obstetrical & gynecological survey, 56(8), 483-491.
Promberger, R., Simek, I.-M., Nouri, K., Obermaier, K., Kurz, C., & Ott, J. (2018). Accuracy of tubal patency assessment in diagnostic hysteroscopy compared with laparoscopy in infertile women: a retrospective cohort study. Journal of Minimally Invasive Gynecology, 25(5), 794-799.
Pundir, J., & Toukhy, T. E. (2010). Uterine cavity assessment prior to IVF. Women’s health, 6(6), 841-848.
Raju, G. R., Kumari, G. S., Krishna, K., Prakash, G., & Madan, K. (2006). Assessment of uterine cavity by hysteroscopy in assisted reproduction programme and its influence on pregnancy outcome. Archives of gynecology and obstetrics, 274(3), 160-164.
Shohayeb, A., & El-Khayat, W. (2012). Does a single endometrial biopsy regimen (S-EBR) improve ICSI outcome in patients with repeated implantation failure? A randomised controlled trial. European Journal of Obstetrics & Gynecology and Reproductive Biology, 164(2), 176-179.
Taylor, E., & Gomel, V. (2008). The uterus and fertility. Fertility and sterility, 89(1), 1-16.
Ugboaja, J., Oguejiofor, C., Igwegbe, A., & Oranu, E. (2019). Abnormal hysteroscopy findings among a cross section of infertile Nigerian women. Nigerian Journal of Clinical Practice, 22(1).
Ugboaja, J. O., Oguejiofor, C. B., & Ogelle, O. M. (2018). Audit of operative hysteroscopies among infertile women in a resource‐poor setting. International Journal of Gynecology & Obstetrics, 141(1), 57-62.
Yanaihara, A., Yorimitsu, T., Motoyama, H., Iwasaki, S., & Kawamura, T. (2008). Location of endometrial polyp and pregnancy rate in infertility patients. Fertility and sterility, 90(1), 180-182.
Yang, J.-H., Chen, M.-J., & Yang, P.-K. (2019). Factors increasing the detection rate of intrauterine lesions on hysteroscopy in infertile women with sonographically normal uterine cavities. Journal of the Formosan Medical Association, 118(1), 488-493.
Downloads
Published
How to Cite
License
Copyright (c) 2021 Agzail S Elhddad , Zamzam Shaban
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright of the articles Published by Almukhtar Journal of Science (MJSc) is retained by the author(s), who grant MJSc a license to publish the article. Authors also grant any third party the right to use the article freely as long as its integrity is maintained and its original authors and cite MJSc as original publisher. Also they accept the article remains published by MJSc website (except in occasion of a retraction of the article).
