Abstract：
BACKGROUND:Implantation failure represents a major cause of stress to both clinician and patient undergoing ICSI cycle. Even minor uterine cavity abnormalities, such as endometrial polyps, small submucous myomas, adhesions, and septa are considered to have a negative impact on the chance to conceive through ICSI. AIM:This study aimed at assessing the role of using the office hysteroscopy as a routine investigation in improving ICSI pregnancy rates. METHODOLOGY:ICSI was performed in two groups of infertile women with no abnormality detected in transvaginal ultrasonographic examination, group I: n = 97 and group II: n = 96, women in group I were subjected to hysteroscopic examination before ICSI while group II underwent ICSI without hysteroscopy. Then, ICSI was performed for all subjects of the two study groups with no statistically significant difference (p > 0.05) regarding the number of oocytes retrieved and the number of embryo transfer. Then, all subjects were followed up for 3 weeks after embryo transfer for detection of pregnancy by ultrasound. RESULTS:43.3 % of group I showed abnormal hysteroscopic findings. Group I showed a significantly higher pregnancy rate (70.1 %) than that of group II (45.8 %) (p = 0.001). There is statistically significant association between the use of hysteroscopy prior to ICSI and the rate of pregnancy (OR 2.77, 95 % CI [1.53-5.00]). In addition, hysteroscopy had detected abnormalities in near half of cases whose ultrasound was normal. CONCLUSION:Routine office hysteroscopy is an essential step for infertility workup before ICSI even in patients with normal TV/US.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Elsetohy KA,Askalany AH,Hassan M,Dawood Zdoi
10.1007/s00404-014-3397-zsubject
Has Abstractpub_date
2015-01-01 00:00:00pages
193-9issue
1eissn
0932-0067issn
1432-0711journal_volume
291pub_type
杂志文章,随机对照试验abstract：PURPOSE:The aim of this study was to assess sexual function in female patients with myocardial infarction (MI). METHODS:As research instruments, an interview form of 20 questions that questioned personal characteristics was developed by researchers, Female Sexual Function Index (FSFI) that evaluated sexual dysfunction...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s00404-014-3537-5
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:Cervical cancer is the second most common cancer of the genital tract. Wide use of screening programs can help in prevention of cervical cancer. OBJECTIVE:To screen and evaluate the prevalence of cervical intraepithelial neoplasia (CIN) by visualization of the cervix after application of 5 % acetic acid (VI...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s00404-013-3109-0
更新日期：2014-06-01 00:00:00
abstract：PURPOSE:Epithelial-mesenchymal transition (EMT) endows cells with migratory and invasive properties, a prerequisite for the establishment of endometriotic lesions. However, the role EMT might play in the pathophysiology of endometriosis is still unknown. Therefore, we examined five recognized markers for EMT in endomet...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s00404-013-3040-4
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abstract：OBJECTIVE:To evaluate the efficacy and safety of hysteroscopic adhesiolysis in patients with intrauterine adhesions (IUAs). SETTING:Minia Maternity University Hospital, Egypt. DESIGN:Prospective cohort study. PATIENTS:This study included 61 patients presented with infertility (primary or secondary) or recurrent preg...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s00404-016-4107-9
更新日期：2016-08-01 00:00:00
abstract：INTRODUCTION:Substantial histopathology data provide evidence that endometriosis might be viewed as a precursor lesion of endometrioid and clear cell carcinoma of the ovary, via intermediary atypical borderline lesions. Also, genes involved in both endometriosis and epithelial ovarian cancer have been shown to play a r...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s00404-011-1957-z
更新日期：2012-02-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s00404-004-0677-z
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
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doi：10.1007/s00404-014-3321-6
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s004040050271
更新日期：2000-04-01 00:00:00
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doi：10.1007/s00404-014-3453-8
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pub_type： 历史文章,杂志文章
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2002-12-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/BF02389608
更新日期：1992-01-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,评审
doi：10.1007/BF00933072
更新日期：1989-01-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,评审
doi：10.1007/s00404-008-0769-2
更新日期：2009-06-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/BF02264885
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,随机对照试验
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更新日期：2011-10-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：PURPOSE:To compare bipolar vessel sealing (BVS; BiClamp) versus conventional suture ligation in vaginal hysterectomy. METHODS:A multicenter, single-blind randomized controlled trial (RCT) was conducted at eight women's hospitals in Germany. One hundred and seventy-five patients with benign uterine disease underwent va...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s00404-009-1010-7
更新日期：2009-11-01 00:00:00
