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| The Place of Diagnostic Hysteroscopy Before Ivf (Review of the Literature)
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Sarah Seghrouchni Idrissi , Mounia Yousfi , Samir Bargach
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Abstract:
Diagnostic hysteroscopy is an examination that evaluates the cervico-isthmic process, endometrium, uterine cavity, and tubal orifices. It is a rapid, minimally invasive, outpatient examination. In this work, we will see successively what are the advantages of hysteroscopy compared to hysterography and hysterosonography, what are the pathologies encountered and what is the place of hysteroscopy in an in vitro fertilization (IVF) program. Today, it seems logical to systematically propose a hysteroscopy before any IVF attempt. There are many arguments in favor of this attitude. The rate of abnormalities detected at hysteroscopy in patients who are going to participate in an IVF program is significant and is between 30 and 45%. These abnormalities are responsible for transfer failures, once treated; the results obtained on fertility are identical to those obtained in patients with normal hysteroscopy. Finally, it informs the person who will perform the transfer about the appearance and the course of the duct. Thus, hysteroscopy is a quick, non-invasive and inexpensive examination, whereas IVF is a cumbersome, invasive and expensive procedure.
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