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Órgano oficial de la Universidad Autónoma de Sinaloa

2020, Number 2

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Rev Med UAS 2020; 10 (2)

Hysteroscopic findings in infertile patients with recurring failure in the implantation

Márquez-Iribe PZ, Morgan-Ortiz F, López-Castro MA, Morgan-Ruiz FV, Martínez-Lopez M

Language: Spanish
References: 16
Page: 58-64
PDF size: 161.22 Kb.


ABSTRACT

Objective: To evaluate the frequency of abnormal hysteroscopic findings in women with recurrent implantation failure in patients undergoing in vitro fertilization/intracytoplasmatic sperm injection (IVF/ICSI). Methodology: Observational, descriptive, cross-sectional, retrolective study, in which the clinical records of patients with failure to implant after one or more IVF / ICSI procedures and who underwent diagnostic hysteroscopy in the period of June 2017 were analyzed. to June 2018 at the Embryogen assisted reproduction center, Culiacán, Sinaloa, Mexico. During the hysteroscopy study, the frequency of anatomical alterations and the main alterations were analyzed, including polyps, submucosal fibroids, uterine septum or if the study was normal , as well as complications related to the procedure. Results: In 28.8% (n = 15) of the patients undergoing hysteroscopy an endocavitary alteration was found, with the uterine septum being the most frequent with 40% (n = 6/15), endometrial polyps in 26.6% (n = 4/15) and uterine adhesions by 20% (n = 3/15). Conclusions: In patients with implantation failure it is always important to perform hysteroscopy, to rule out the presence of anatomical alterations of the uterine cavity that may affect implantation such as the uterine septum, fibroids and polyps. The correction of these alterations can increase the implantation rate.


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