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Abstract Unexplained infertility is one of the most common diagnosis in Infertility clinic with the prevalence of 15 - 30%. Uterine cavity assessment is an important aspect of female infertility work up. Structural pathology in the uterine cavity such as congenital Mullerian anomalies and intrauterine lesions can affect endometrial receptivity, resulting in implantation failure which may manifest as RPL or infertility. Uterine cavity abnormalities can be the cause of infertility in 10 to 15% of women. Abnormal uterine cavity findings may occur in approximately 50% infertile women. Uterine cavity evaluation is thus recommended to screen fibroids, polyps, adhesions and uterine Mullerian abnormalities. Efficient detection and adequate management of lesions is imperative in infertile women so that optimal fertility treatment can proceed. The recent advances in ultrasound technology have promoted transvaginal sonography as a non invasive, low cost alternative to hysteroscopy. It provides a good visualization of endometrium, midline echo and uterine cavity. Hysteroscopy is considered the gold standard for visualization of the uterine cavity and cervical canal. It records the findings photographically and by videotape for further evaluation and comparison and allows the identification of a number of pathologies including polyps, submucous fibroids, endometrial thickness and others. It also allows therapeutic intervention at the same time for the treatment of detected pathology. |