2016, Number 12
Ginecol Obstet Mex 2016; 84 (12)
Hysteroscopic findings in patients diagnosed with primary infertility, 12 years’ experience in a General Hospital
Alanís-Fuentes J, Viveros-Gallardo A, Sánchez-Hernández H
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ABSTRACTObjetive: To know which are the main findings by hysteroscopy in women with primary infertility.
Material and Method: Using the database of clinical of the General Hospital Dr. Manuel Gea Gonzalez, included 430 records of hysteroscopic studies from women diagnosed with primary infertility, in the period from January 2003 December to 2014. Records incomplete or incomprehensible, medical records of patients diagnosed with secondary infertility and also corresponded to subsequent evaluations were excluded.
Results: In twelve years was performance 13,928 hysteroscopies, 430 of them in women with primary Infertility, for the first time of evaluation, 8 was canceled for pain or intolerance to the hysteroscopy and 9 was eliminated because they were incomplete records, getting 413 records at last. The average age was 33 years SD ± 7.3 years, all Mexican. The main finding was normal endometrial cavity 77 patients (19%), the most frequent pathology was polyps in 70 patients (17%), followed by ostia occluded 53 patients (13%), endometritis in 45 patients (11%), fibroids 42 patients (10%), endometrial hyperplasia 35 patients (8%), Müllerian malformations 27 patients (6%), polypoid endometrium 19 patients (4%), cervical stenosis 15 patients (4%), intrauterine adherences 11 patients (3%), adenomiosis 9 patients (2%), other endometrial alterations 7 patients (2%) and atrophy 3 patients (1%).
Conclusions: The infertility rate in the hysteroscopy clinic population from January 2003 to December 2014 was 3.5%. In the 19% of the patients the endometrial cavity was normal in the first evaluation by hysteroscopy. The main pathology was endometrial polyps.