Hysteroscopy in women with reproductive problems

UNLABELLED: Authors discuss the potentialities of hysteroscopy in revealing the causes of sterility and infertility. AIM: to establish the most common hysteroscopic findings in women with reproductive problems and the results of the performed hysteroscopic procedures. DESIGN: prospective study. RESULTS: Out of 360 hysteroscopic operations, 76 have reproductive problems (sterility, spontaneous abortions, premature deliveries). In the group of women with primary sterility the most common findings were endometrial polyps (56.8%) and submucous myomas (31.8%); in the group with secondary sterility - intrauterine synaechia (50.0%) and corpus alienum (25.0%); patients with habitual abortions had most frequently uterine septum (46.7%). Postoperative follow up of 44 women showed 72.7% reproductive success after the hysteroscopic procedures. CONCLUSION: For women with reproductive problems, hysteroscopy is a reliable method for almost 100% detection of the intrauterine pathology and for, in a great extend, of its elimination.