Role of Hysteroscopy to Improve Live Birth Rate among Secondary Infertile Couples

Introduction: abnormalities in the uterus that related to infertility have been found in 34% to 62% of infertile women seeking treatment. Hysteroscopy can detect the intrauterine pathology and provide treatment to restore the normal endometrial environment for fertility. Objective: This study aims to assess the efficacy of hysteroscopy in improving the pregnancy rate PR and live birth rate LBR among secondary infertile women. Material and Methods: it is a retrospective involves 220women with secondary infertile. They were two groups, study group; 114 cases had a hysteroscopy, control group; 106 cases did not perform a hysteroscopy. Hysteroscopy was performed with a standard sequence and the findings were recorded. The pregnancy outcome for both groups was also recorded. Results: the average age of the patients (35.01 ? 5.48 years) with a period of secondary infertility (5.4?3.25 years). 38.77% of cases para1 and 15.71% had an abortion. The most hysteroscopic findings were endometritis (35.09%). For the study and control group; PR was positive in 40.35%, 26.41% respectively while LBR 78.26%, 57.14% respectively. The study showed significant differences between the two groups in PR and LBR 0.01and 0.02 respectively (P-value