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Perspective

Is Hysteroscopy Prior to IVF Associated with an Increased Probability of Live Births in Patients with Normal Transvaginal Scan Findings after Their First Failed IVF Trial?

1
Department of Obstetrics and Gynaecology, Royal Cornwall Hospital, Truro TR1 3LJ, UK
2
Department of Obstetrics and Gynaecology, Royal Preston Hospital, Preston PR2 9HT, UK
3
Assisted Reproduction Unit, Second Department of Obstetrics and Gynecology, Faculty of Medicine, National and Kapodistrian University of Athens, 11528 Athens, Greece
4
Assisted Reproduction Unit, Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Ioannina, 45500 Ioannina, Greece
5
Department of Metabolism, Digestion and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London W12 0HS, UK
6
Unit of Human Reproduction, First Department of Obstetrics and Gynaecology, Faculty of Medicine, Aristotle University of Thessaloniki, 56403 Thessaloniki, Greece
*
Author to whom correspondence should be addressed.
Academic Editor: Stephan Gordts
J. Clin. Med. 2022, 11(5), 1217; https://doi.org/10.3390/jcm11051217
Received: 4 February 2022 / Revised: 21 February 2022 / Accepted: 23 February 2022 / Published: 24 February 2022
(This article belongs to the Special Issue Updates in Assisted Reproduction Treatment)
(1) Background: Nowadays, pregnancy can be achieved by in vitro fertilisation (IVF) or by intracytoplasmic sperm injection (ICSI) for many infertile couples. However, implantation failure still remains a significant problem and it can be stressful for both patients and doctors. One of the key players for pregnancy achievement is the uterine environment. Hysteroscopy is the most reliable method to evaluate the uterine cavity and to identify any intauterine pathology. The aim of this retrospective study was to compare live birth ranges in between women who after a first failed IVF/ICSI attempt underwent a hysteroscopy and those who were evaluated by a transvaginal scan. (2) The retrospective study took place at the Assisted Reproductive Unit of the University Hospital of Ioannina, Greece, from 2017 to 2020. It included 334 women with normal findings in a repeat ultrasound scan after a failed IVF/ICSI trial, 137 of whom underwent in turn diagnostic hysteroscopy before the next IVF/ICSI. (3) Results: Live birth rates were higher in the study group (58/137 vs. 52/197 p = 0.0025). Abnormal endometrial findings were identified in 30% of the patients of the study group. (4) Conclusions: The addition of hysteroscopy as an additional investigation to those patients with a first failed IVF/ICSI could improve the rates of live births. A properly conducted RCT could lead to a robust answer. View Full-Text
Keywords: assisted reproduction technology; in vitro fertilisation; intracytoplasmic sperm injection; hysteroscopy assisted reproduction technology; in vitro fertilisation; intracytoplasmic sperm injection; hysteroscopy
MDPI and ACS Style

Zikopoulos, A.; Galani, A.; Siristatidis, C.; Georgiou, I.; Mastora, E.; Paraskevaidi, M.; Zikopoulos, K.; Kolibianakis, E. Is Hysteroscopy Prior to IVF Associated with an Increased Probability of Live Births in Patients with Normal Transvaginal Scan Findings after Their First Failed IVF Trial? J. Clin. Med. 2022, 11, 1217. https://doi.org/10.3390/jcm11051217

AMA Style

Zikopoulos A, Galani A, Siristatidis C, Georgiou I, Mastora E, Paraskevaidi M, Zikopoulos K, Kolibianakis E. Is Hysteroscopy Prior to IVF Associated with an Increased Probability of Live Births in Patients with Normal Transvaginal Scan Findings after Their First Failed IVF Trial? Journal of Clinical Medicine. 2022; 11(5):1217. https://doi.org/10.3390/jcm11051217

Chicago/Turabian Style

Zikopoulos, Athanasios, Apostolia Galani, Charalampos Siristatidis, Ioannis Georgiou, Eirini Mastora, Maria Paraskevaidi, Konstantinos Zikopoulos, and Efstratios Kolibianakis. 2022. "Is Hysteroscopy Prior to IVF Associated with an Increased Probability of Live Births in Patients with Normal Transvaginal Scan Findings after Their First Failed IVF Trial?" Journal of Clinical Medicine 11, no. 5: 1217. https://doi.org/10.3390/jcm11051217

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