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International Journal of Fertility and Sterility، جلد ۱۵، شماره ۲، صفحات ۸۰-۸۷

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عنوان انگلیسی Hysteroscopy as An Investigational Operative Procedure in Primary and Secondary Infertility: A Systematic Review
چکیده انگلیسی مقاله Background: The aim of this study is to review current indications to diagnostic and/or operative hysteroscopy in primary and secondary infertility, as well as to determine its efficacy in improving fertility.

Materials and Methods: We gathered available evidence about the role of hysteroscopy in the management of various infertility conditions. Literature from 2000 to 2020 that pertained to this topic were retrieved and appropriately selected.

Results: Hysteroscopy does not appear as a first line diagnostic procedure for every clinical scenario. However, its diagnostic sensitivity and specificity in assessing intrauterine pathology is superior to all other non-invasive techniques, such as saline infusion/gel instillation sonography (SIS/GIS), transvaginal sonography (TVS) and hysterosalpingography (HSG). Hysteroscopy allows not only a satisfactory evaluation of the uterine cavity but also, the eventual treatment of endocavitary pathologies that may affect fertility both in spontaneous and assisted reproductive technology (ART) cycles.

Conclusion: Hysteroscopy, due to its diagnostic and therapeutic potential, should be regarded as a necessary step in infertility management. However, in case of suspected uterine malformation, hysteroscopy should be integrated with other tests [three-dimensional (3D) ultrasound or magnetic resonance imaging (MRI)] for diagnostic confirmation.
کلیدواژه‌های انگلیسی مقاله Hysteroscopy, infertility, Pregnancy Rate, Primary infertility

نویسندگان مقاله Fortunato Genovese |
Department of General Surgery and Medical Surgical Specialties, University of Catania, Viale Carlo Azeglio Ciampi, Catania, Italy

Federica Di Guardo |
Department of General Surgery and Medical Surgical Specialties, University of Catania, Viale Carlo Azeglio Ciampi, Catania, Italy

Morena Maria Monteleone |
Department of General Surgery and Medical Surgical Specialties, University of Catania, Viale Carlo Azeglio Ciampi, Catania, Italy

Valentina D Urso |
Department of General Surgery and Medical Surgical Specialties, University of Catania, Viale Carlo Azeglio Ciampi, Catania, Italy

Francesco Maria Colaleo |
Department of General Surgery and Medical Surgical Specialties, University of Catania, Viale Carlo Azeglio Ciampi, Catania, Italy

Vito Leanza |
Department of General Surgery and Medical Surgical Specialties, University of Catania, Viale Carlo Azeglio Ciampi, Catania, Italy

Marco Palumbo |
Department of General Surgery and Medical Surgical Specialties, University of Catania, Viale Carlo Azeglio Ciampi, Catania, Italy


نشانی اینترنتی https://www.ijfs.ir/article_239694_43fd743a895327c1e4028a0035ea1348.pdf
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