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. 2010:2010:168096.
doi: 10.1155/2010/168096. Epub 2010 Apr 14.

Office hysteroscopy for infertility: a series of 557 consecutive cases

Martin Koskas  1 , Jean-Luc Mergui, Chadi Yazbeck, Serge Uzan, Jacky Nizard
Affiliations

Office hysteroscopy for infertility: a series of 557 consecutive cases

Martin Koskas et al. Obstet Gynecol Int. 2010.

Abstract

Objective. To study incidence of abnormal hysteroscopic findings according to age. Methods. We retrospectively studied 557 consecutive office hysteroscopies in patients referred for incapacity to conceive lasting at least 1 year or prior to in vitro fertilization. Rates of abnormal findings were reviewed according to age. Results. In 219 cases, hysteroscopy showed an abnormality and more than a third of our population had abnormal findings that could be related to infertility. Rates of abnormal findings ranged from 30% at 30 years to more than 60% after 42 years. Risk of abnormal finding was multiplied by a factor of 1.5 every 5 years. Conclusion. Our data are an additional argument to propose office hysteroscopy as part of first-line exams in infertile woman, regardless of age.

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Figures

Figure 1
Figure 1
Rates of cervical abnormalities in 557 infertile women during office hysteroscopy according to age.
Figure 2
Figure 2
Rates of intrauterine abnormalities in 557 infertile women during office hysteroscopy according to age.
Figure 3
Figure 3
Rates of endometrial abnormalities in 557 infertile women during office hysteroscopy according to age.
Figure 4
Figure 4
Rates of abnormal findings in 557 infertile women during office hysteroscopy according to age.
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