الفهرس 
HysteroscopyOnly 14 pages are availabe for public view
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Abstract
One of the basic steps of the infertility workup is to assess the shape and regularity of
the uterine cavity. Historically, and still today as it turns out, the HSG has been the most
commonly used test for this purpose. During the last two decades, however, several studies
have demonstrated that when the uterine cavity has to be investigated within the infertility
workup, hysteroscopy is much more accurate than HSG. Our study was conducted on 50
females who attended the outpatient clinical Cairo University hospital. Its objective was to
assess the role of hysteroscopy in investigation of infertile women. The study was designed to
investigate the role of hysteroscopy in determining the uterine cavity abnormalities that were
missed during routine investigations of infertility as ultrasound and hysterosalpingography
which were reported as normal.
The study revealed presence of intrauterine polyps, submucous fibroids, intrauterine
adhesions, Mullerian anomalies that were missed by standard infertility investigations. These
lesions can be treated during hysteroscopy and their treatment may lead to successful
conception as reported by some authors. Outpatient investigation is a comparatively new
concept in gynecology. Patients may favor the outpatient approach because they spend less
time in hospital. However, it is important to tailor the outpatient investigation to suit the
particular patient, realizing that all methods of endometrial evaluation are complementary
rather than competitive and that combining several modalities would yield more information
than a single approach. HSG is still a useful screening test for the evaluation of the uterine
cavity in the study of primary or secondary infertility. In addition, HSG provides information
concerning the assessment of tubal morphology and patency. We believe that these two
procedures are complementary in the evaluation of the uterine cavity.
Keywords:
Hysteroscopy
Infertility
Hysterosalpingography