Role of Hysteroscopy in Evaluation of Infertility: A Retrospective Study of 100 Cases

Objective: To determine role of hysteroscopy in evaluation of infertility Method: This retrospective observational study was carried out at Gynaecology endoscopy unit, PSRI, DELHI, over a period of one year. 100 Infertile women were included in the study. Hysteroscopy was performed by using 2.9mm 300 BETTOCHI hysteroscope. Data was collected from the medical records department of the hospital. Results: Among 100 women, abnormal hysteroscopic findings were found in 56% women, majority of which (76.8%) were with primary infertility and 60.7% were of age ≥30 years. The most common uterine cavity abnormality was intrauterine adhesions, seen in 46.4% cases. Among these, majority of the adhesions were of grade I (65.4%). Endometrial polyp, subseptate uterus, submucous myoma, and unicornuate uterus was seen in 23.2%, 12.5%, 8.9%, and 1.7% cases respectively. Cervical lesions such as cervical polyp, cervical adhesions and cervical growth were seen in 5.3% of cases, where each of them constituted 1.7% of cases. Conclusion: This study suggests that since hysteroscopy was able to identify intrauterine pathologies in 56% of women with infertility, it should be considered as a routine investigation in evaluation of infertile woman.