الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The aim of this study was to assess of the uterine cavity by office hysteroscope, in cases with implantation and recurrent implantation failure after ICSI trials.
This was a cross sectional study that included. Seventy seven patients with primary or secondary infertility with a history of implantation failure after ICSI trials. They were selected from the outpatient clinic of El-Shatby Maternity University Hospital during the period from September 2010 till October 2011.
The cases were categorized according to the number of failed ICSI trials into three groups:
Group I: Failed ICSI once included 34 patients, and 29.4% had abnormal findings.
Group II: Failed ICSI twice included 23 patients, and 34.8% had abnormal findings.
Group III: Failed ICSI more than twice included 21 patients and had 55% abnormal findings.
Our results revealed that
- There was a statistical age difference between the groups.
- The most prominent finding within the studied groups was endometrial polyps. There were 12 cases mostly in group I n=4, and in group II n=2 and in group III n=3 cases.
- In group II & III there was 2 cases in each group showing atrophic endometrium. Two cases in group I had endometrial hyperplasia and 1 case in group II. Dignosis was confermed by histopathology.
- There were 6 cases of uterine septum within the studied sample 2 in each group.
- There were 5 cases of adhesions in the study. In group I n=2, in group II n=1 and in group III n=2. None of these adhesion cases were identified by TVS.
- In the study one case from group III had a false passage.
- Out of the 29 cases with abnormal hysteroscopic findings in 21 cases (72%) the office procedure was both diagnostic and therapeutic.
- The sensitivity of TVS was 37.93% and the specificity was 100.0% and negative predicted value of TVS was 72.73% and the accuracy was 76.62%.
- The pregnancy rate after office hysteroscopy in cases with normal intrauterine cavity was 41.2% and was 58.3% in those that needed correction