Role of Office Hysteroscopy in Detection of Uterine Abnormalities in Women with Unexplained Infertility.

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Title: Role of Office Hysteroscopy in Detection of Uterine Abnormalities in Women with Unexplained Infertility.
Authors: Ali Eleraky, Basma Elsayed Mahmoud1 m01114604229@gmail.com, Soliman, Badeea S.1, Abdou, Ahmed Mahmoud1, Elmasarawy, Ahmed Hassan1
Source: Zagazig University Medical Journal. Jan2025, Vol. 31 Issue 1, p333-341. 9p.
Subject Terms: *FEMALE infertility, *SEPTATE uterus, *MEDICAL offices, *ENDOMETRIOSIS, *PRENATAL diagnosis
Abstract: Background: Hysteroscopy is considered the gold standard for the diagnosis of small uterine abnormalities undetected by previous procedures like hysterosalpingography (HSG), as well as uterine abnormalities such adenomyosis, myoma, and polyps. Evaluation of hysteroscopy's use in the diagnosis of female infertility without apparent cause was our aim. Methods: This prospective cross-sectional study included sixty individuals with unexplained infertility. It was carried out at the Zagazig University Hospital's, Endoscopic Unit in the Department of Obstetrics and Gynecology from October 2023 to May 2024, all patients were subjected to office hysteroscopy. Results: 28.3% of the 60 women who were the subject of the study reported abnormal hysteroscope results in their uteri. Of the patients, 40% had secondary infertility and 60% had primary infertility. 15% had intrauterine polyps found, which hysterosalpingography and ultrasonography failed to detect. It was shown that 8.3% had uterine niches. There were only one (1.7%) woman with a tiny uterine septum and 3.3% of women with submucous fibroids (grades 0 to 2). Conclusion: When hysteroscopy is performed, uterine pathology is found in a considerable number of infertile women for unknown reasons. Because office hysteroscopy allows for simultaneous operational correction, patient tolerance, and safety, it is the gold standard for the diagnosis and treatment of intrauterine disease. [ABSTRACT FROM AUTHOR]
Copyright of Zagazig University Medical Journal is the property of Association of Arab Universities and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Role of Office Hysteroscopy in Detection of Uterine Abnormalities in Women with Unexplained Infertility.
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  Data: <searchLink fieldCode="AR" term="%22Ali+Eleraky%2C+Basma+Elsayed+Mahmoud%22">Ali Eleraky, Basma Elsayed Mahmoud</searchLink><relatesTo>1</relatesTo><i> m01114604229@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Soliman%2C+Badeea+S%2E%22">Soliman, Badeea S.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Abdou%2C+Ahmed+Mahmoud%22">Abdou, Ahmed Mahmoud</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Elmasarawy%2C+Ahmed+Hassan%22">Elmasarawy, Ahmed Hassan</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Zagazig+University+Medical+Journal%22">Zagazig University Medical Journal</searchLink>. Jan2025, Vol. 31 Issue 1, p333-341. 9p.
– Name: Subject
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  Data: *<searchLink fieldCode="DE" term="%22FEMALE+infertility%22">FEMALE infertility</searchLink><br />*<searchLink fieldCode="DE" term="%22SEPTATE+uterus%22">SEPTATE uterus</searchLink><br />*<searchLink fieldCode="DE" term="%22MEDICAL+offices%22">MEDICAL offices</searchLink><br />*<searchLink fieldCode="DE" term="%22ENDOMETRIOSIS%22">ENDOMETRIOSIS</searchLink><br />*<searchLink fieldCode="DE" term="%22PRENATAL+diagnosis%22">PRENATAL diagnosis</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Hysteroscopy is considered the gold standard for the diagnosis of small uterine abnormalities undetected by previous procedures like hysterosalpingography (HSG), as well as uterine abnormalities such adenomyosis, myoma, and polyps. Evaluation of hysteroscopy's use in the diagnosis of female infertility without apparent cause was our aim. Methods: This prospective cross-sectional study included sixty individuals with unexplained infertility. It was carried out at the Zagazig University Hospital's, Endoscopic Unit in the Department of Obstetrics and Gynecology from October 2023 to May 2024, all patients were subjected to office hysteroscopy. Results: 28.3% of the 60 women who were the subject of the study reported abnormal hysteroscope results in their uteri. Of the patients, 40% had secondary infertility and 60% had primary infertility. 15% had intrauterine polyps found, which hysterosalpingography and ultrasonography failed to detect. It was shown that 8.3% had uterine niches. There were only one (1.7%) woman with a tiny uterine septum and 3.3% of women with submucous fibroids (grades 0 to 2). Conclusion: When hysteroscopy is performed, uterine pathology is found in a considerable number of infertile women for unknown reasons. Because office hysteroscopy allows for simultaneous operational correction, patient tolerance, and safety, it is the gold standard for the diagnosis and treatment of intrauterine disease. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Zagazig University Medical Journal is the property of Association of Arab Universities and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.21608/zumj.2024.326250.3618
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        Text: English
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        Type: general
      – SubjectFull: SEPTATE uterus
        Type: general
      – SubjectFull: MEDICAL offices
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      – SubjectFull: ENDOMETRIOSIS
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      – TitleFull: Role of Office Hysteroscopy in Detection of Uterine Abnormalities in Women with Unexplained Infertility.
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              Text: Jan2025
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              Y: 2025
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