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Routine hysteroscopy in infertility?

K Wiswedel

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Abstract

Fifty patients from the infertility Clinic at Groote Schuur Hospital who underwent laparoscopy as part of their work-up had a routine hysteroscopy at the same time, with the Hamou II hysteroscope. In all cases carbon dioxide was used as the distending medium. Only 4 patients had abnormalities detected by hysteroscopy. Three out of those 4 abnormalities could have been diagnosed by hysterosalpingography. Compared with hysteroscopy the diagnostic value of hysterosalpingography as a routine screening procedure was found to be adequate.

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What this paper is about

Fifty patients from the infertility Clinic at Groote Schuur Hospital who underwent laparoscopy as part of their work-up had a routine hysteroscopy at the same time, with the Hamou II hysteroscope. In all cases carbon dioxide was used as the distending medium. Only 4 patients had abnormalities detected by hysteroscopy. Three out of those 4 abnormalities could have been diagnosed by hysterosalpingography. Compared with hysteroscopy the diagnostic value of hysterosalpingography as a routine screening procedure was found to be adequate.

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Available abstract

Fifty patients from the infertility Clinic at Groote Schuur Hospital who underwent laparoscopy as part of their work-up had a routine hysteroscopy at the same time, with the Hamou II hysteroscope. In all cases carbon dioxide was used as the distending medium. Only 4 patients had abnormalities detected by hysteroscopy. Three out of those 4 abnormalities could have been diagnosed by hysterosalpingography. Compared with hysteroscopy the diagnostic value of hysterosalpingography as a routine screening procedure was found to be adequate.

Key concepts: Medicine, Hysteroscopy, Hysterosalpingography, Infertility, Laparoscopy, Obstetrics, Gynecology, Female infertility

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