What is the role of hysteroscopic surgery in the management of female infertility? a review of the literature
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Authors
Carneiro, Márcia Mendonça
Issue Date
2014-03-03
Type
Article
Language
en_US
Keywords
Hysteroscopic Surgery , Female Infertility , Literature Review
Alternative Title
Abstract
The position of hysteroscopy in current fertility practice is under debate. There are many randomized controlled trials on technical feasibility and patient compliance demonstrating that the procedure is well tolerated and effective in the treatment of intrauterine pathologies. However, no consensus on the effectiveness of hysteroscopic surgery in improving the prognosis of subfertile women is available. A literature review was performed to explore the available information regarding the role of hysteroscopy in the evaluation and management of female infertility as well as to ascertain evidence that treatment of these uterine abnormalities improves fertility. The debate regarding the role of hysteroscopic surgery in the management of female infertility remains as the published studies did not reach a consensus on the benefit of such an intervention in this setting. The randomized trials do not clearly demonstrate that surgical correction of all intrauterine abnormalities improves IVF outcome. However, published observational studies suggest a benefit for resection of submucosal leiomyomas, adhesions, and endometrial polyps in increasing pregnancy rates. More randomised controlled studies are needed to substantiate the effectiveness of the hysteroscopic removal of suspected intrauterine pathology in women with unexplained subfertility or prior to assisted reproductive technology.
Description
Citation
Carneiro M. M. (2014). What is the role of hysteroscopic surgery in the management of female infertility? A review of the literature. Surgery research and practice, 2014, 105412. https://doi.org/10.1155/2014/105412
Publisher
Surgery Research and Practice