Schenk LM. Coddington III CC.


Dr. L. M. Schenk, Jones Inst. For Reproductive Med., 601 Colley Ave., Norfolk, VA 23507; United States.


The role of hysteroscopy in unexplained infertility.


Infertility and Reproductive Medicine Clinics of North America. Vol 8(4) (pp87-601), 1997.


Unexplained infertility is a puzzling and frustrating entity for patients and clinicians alike. Uterine abnormalities, both congenital and acquired, are frequently demonstrated in the infertile population, but the role of such abnormalities in unexplained infertility is not fully understood. The type, size, and location of uterine abnormalities in an infertile patient, as well as associated symptoms and individual patient history, are factors which assist the clinician in determining the extent of their clinical importance and affect decision making regarding treatment. Several techniques can be used for the diagnosis of uterine factors. HSG remains the most practical study for the initial evaluation of infertility because of its low cost, ease of performance, relative noninvasiveness, and ability to give useful information on tubal patency. Diagnostic hysteroscopy is a safe and accurate method of uterine visualization which may be used as an adjunct to complement HSG in the evaluation and treatment of women with abnormal findings. Prospective, randomized studies are needed to evaluate the utility of routine diagnostic hysteroscopy in women with normal uterine cavities by HSG and the impact of subtle uterine abnormalities on fertility.

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