Hysteroscopy Findings in Failed IVF and its Influence on Pregnancy Outcome

Objective: To identify and analyze the abnormal hysteroscopic findings in women falling IVF and its effect on pregnancy outcome.Material Methods: A simple descriptive non-randomized study of 245 patients was conducted in king Hussein Medical Center. All patients of failed IVF were referred to routine hysteroscopy in our hysteroscopic unit with hysteroscopic finding has been identified and recorded. The patient’s age ranged from 20 to 38 years and duration of infertility ranged from 5-10 years. Informed consent was also taken from them prior to the study.Results: Uterine cavity was normal in 75% of the cases. While Sixty one (25%) patients showed abnormal hysteroscopic findings of the cervical canal and uterine cavity (endometrium).Intramural myoma: 26 cases, Endometrial polyp: 19 cases. Isthmic abnormalities were present in 2-3% (5 cases). Endometrail hyperplasia 3 cases. Intrauterin adhesion (IUA), synechiae: 4 cases, Septate uterus 4 cases.Conclusion: Patients with recurrent IVF embryo transfer failures should be reevaluated using hysteroscopy prior to further commencing IVF-embryo transfer cycles. Hysteroscopy is part of first-line exams in infertile woman regardless of age.