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Chapter-02 Role of Diagnostic Hysteroscopy in Infertility

BOOK TITLE: Practical Guide in Reproductive Surgery

Author
1. Ghosh Arati
2. Guha Biswajyoti
3. Basu Alok
ISBN
9789352704842
DOI
10.5005/jp/books/18067_3
Edition
1/e
Publishing Year
2018
Pages
5
Author Affiliations
1. RG Kar Medical College and Hospital Kolkata, RG. Kar Medical College and Hospital, Kolkata, RG Kar Medical College, Kolkata, West Bengal, India
2. ICARE Institute of Medical Sciences and Research, Haldia, West Bengal, India, AMRI Hospitals, Kolkata, West Bengal, India
3. AMRI Hospital, Kolkata, West Bengal, India
Chapter keywords
Hysteroscopy, infertility, hysterosalpingography, HSG, transvaginal ultrasonography, infertile patient, submucous fibroid, endometrial polyps

Abstract

This chapter describes the role of diagnostic hysteroscopy in infertility. The development of hysteroscopy is rooted in the work of Pantaleoni, first reported uterine endoscopy in 1869. It is widely accepted that a complete infertility workup should include an evaluation of the uterine cavity. Uterine abnormalities, congenital or acquired, are implicated as one of the causes of infertility. Due to improved endoscopic developments, hysteroscopy can be performed reliably and safely as an office procedure. Direct view of the uterine cavity offers a significant advantage over other blind or indirect diagnostic methods. Hysteroscopy can diagnose much more precisely, compared with hysterosalpingography (HSG) and even transvaginal ultrasonography, small intrauterine lesions that might affect fertility. Hysteroscopy in infertile patients, hysteroscopic management in submucous fibroids, role of hysteroscopic surgery on management endometrial polyps, and hysterosalpingography versus hysteroscopy are covered in this chapter.

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