Abstrato

Impact of routine hysteroscopy prior to intrauterine insemination on pregnancy rates (PR) in infertile couples at Al-Amal hospital, Misurata, Libya

Aisha Mohamed Elbareg

HS is an accurate tool for management of intrauterine pathology (IUP) because it detects multiple and subtle uterine lesions, and enabling treatment at an equivalent setting. Intrauterine insemination (IUI) is an efficient treatment of low complications rate, to be offered before starting more ART invasive options. As IUP can negatively affect implantation, this study investigated the routine use of hysteroscopy (HS) prior IUI in management of infertile women with the most outcome measure studied was conception / PR. Materials & Methods: Referred 180 patients (with primary and secondary infertility,129& 51women respectively), ages: 2338 years, similar BMI and candidate for (COH) with clomid & gonadotropin in conjunction with IUI cycles were included during a prospective controlled study for 2 years (April 2015 to March 2017). All underwent day 3 hormonal evaluation, divided equally & randomly into 2 groups (gps): (A) underwent diagnostic HS to rule out IUP and (if found) operated by means of a 5.5 mm Olympus continuous flow HS before IUI which has got to be performed the subsequent cycle if normal or 3 cycles after operation, (B) as an impact ( IUI without HS).