The Effect of Hysteroscopy on Fertility in Women with Unexplained Infertility
Objective: This study aimed to investigate how undergoing hysteroscopy affects the reproductive rates of women with unexplained infertility. Methods: A total of 145 women who were aged between 20 and 40 years, who had been diagnosed with unexplained infertility and who underwent hysteroscopy at the...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2024-10-01
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| Series: | Gazi Medical Journal |
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| Online Access: | https://gazimedj.com/articles/the-effect-of-hysteroscopy-on-fertility-in-women-with-unexplained-infertility/doi/gmj.2024.4128 |
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| author | Rıza Dur Betül Ahat Ayşe Yalçınkaya Yılmaz Cem Yağmur Özdemir Mine Kanat Pektaş |
| author_facet | Rıza Dur Betül Ahat Ayşe Yalçınkaya Yılmaz Cem Yağmur Özdemir Mine Kanat Pektaş |
| author_sort | Rıza Dur |
| collection | DOAJ |
| description | Objective: This study aimed to investigate how undergoing hysteroscopy affects the reproductive rates of women with unexplained infertility.
Methods: A total of 145 women who were aged between 20 and 40 years, who had been diagnosed with unexplained infertility and who underwent hysteroscopy at the study center between 1 January 2021 and 1 January 2022 were enrolled in this study. All patients who underwent hysteroscopy were put to an 18-month-long follow-up period.
Results: The clinical pregnancy rate was 43.4%, whereas the live birth rate was 38.6% in this cohort. Average time to pregnancy took 5.6±1.8 months (range: 2-9 months). The mode of conception was unassisted in 28 pregnancies (44.4%) whereas the mode of conception was ovarian stimulation combined with intrauterine insemination in 23 pregnancies (36.5%) and in vitro fertilization in 12 pregnancies (19.1%). The patients who were able to conceive after hysteroscopy had significantly younger age, lower gravidity, and parity than those who failed to conceive (p=0.008, p=0.005 and p=0.001, respectively). The patients who successfully gave birth to living newborns after hysteroscopy had significantly younger age, lower gravidity, and parity than those who failed to deliver (p=0.040, p=0.003 and p=0.001, respectively). Septum resection was significantly more frequent and adhesiolysis was significantly less frequent in patients who were able to give birth to living newborns after hysteroscopy (p=0.038 and p=0.014, respectively).
Conclusion: Hysteroscopy appears to have a positive impact on live birth rates in women with unexplained infertility. |
| format | Article |
| id | doaj-art-ce1ca594cc2842df9b48d07dc0c8b45b |
| institution | Kabale University |
| issn | 2147-2092 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Gazi Medical Journal |
| spelling | doaj-art-ce1ca594cc2842df9b48d07dc0c8b45b2025-01-16T10:47:24ZengGalenos Publishing HouseGazi Medical Journal2147-20922024-10-0135438739210.12996/gmj.2024.4128The Effect of Hysteroscopy on Fertility in Women with Unexplained InfertilityRıza Dur0https://orcid.org/0000-0002-9225-9030Betül Ahat1https://orcid.org/0000-0002-9660-7696Ayşe Yalçınkaya Yılmaz2https://orcid.org/0000-0002-3977-8333Cem Yağmur Özdemir3https://orcid.org/0000-0001-5560-2162Mine Kanat Pektaş4https://orcid.org/0000-0003-2862-3288Department of Obstetrics and Gynecology Afyonkarahisar Health Sciences University Faculty of Medicine, Afyonkarahisar, TürkiyeDepartment of Obstetrics and Gynecology Afyonkarahisar Health Sciences University Faculty of Medicine, Afyonkarahisar, TürkiyeDepartment of Obstetrics and Gynecology Afyonkarahisar Health Sciences University Faculty of Medicine, Afyonkarahisar, TürkiyeDepartment of Obstetrics and Gynecology Afyonkarahisar Health Sciences University Faculty of Medicine, Afyonkarahisar, TürkiyeDepartment of Obstetrics and Gynecology Afyonkarahisar Health Sciences University Faculty of Medicine, Afyonkarahisar, TürkiyeObjective: This study aimed to investigate how undergoing hysteroscopy affects the reproductive rates of women with unexplained infertility. Methods: A total of 145 women who were aged between 20 and 40 years, who had been diagnosed with unexplained infertility and who underwent hysteroscopy at the study center between 1 January 2021 and 1 January 2022 were enrolled in this study. All patients who underwent hysteroscopy were put to an 18-month-long follow-up period. Results: The clinical pregnancy rate was 43.4%, whereas the live birth rate was 38.6% in this cohort. Average time to pregnancy took 5.6±1.8 months (range: 2-9 months). The mode of conception was unassisted in 28 pregnancies (44.4%) whereas the mode of conception was ovarian stimulation combined with intrauterine insemination in 23 pregnancies (36.5%) and in vitro fertilization in 12 pregnancies (19.1%). The patients who were able to conceive after hysteroscopy had significantly younger age, lower gravidity, and parity than those who failed to conceive (p=0.008, p=0.005 and p=0.001, respectively). The patients who successfully gave birth to living newborns after hysteroscopy had significantly younger age, lower gravidity, and parity than those who failed to deliver (p=0.040, p=0.003 and p=0.001, respectively). Septum resection was significantly more frequent and adhesiolysis was significantly less frequent in patients who were able to give birth to living newborns after hysteroscopy (p=0.038 and p=0.014, respectively). Conclusion: Hysteroscopy appears to have a positive impact on live birth rates in women with unexplained infertility.https://gazimedj.com/articles/the-effect-of-hysteroscopy-on-fertility-in-women-with-unexplained-infertility/doi/gmj.2024.4128dysfunctional uterine bleedinghysteroscopyinfertilitypregnancy |
| spellingShingle | Rıza Dur Betül Ahat Ayşe Yalçınkaya Yılmaz Cem Yağmur Özdemir Mine Kanat Pektaş The Effect of Hysteroscopy on Fertility in Women with Unexplained Infertility Gazi Medical Journal dysfunctional uterine bleeding hysteroscopy infertility pregnancy |
| title | The Effect of Hysteroscopy on Fertility in Women with Unexplained Infertility |
| title_full | The Effect of Hysteroscopy on Fertility in Women with Unexplained Infertility |
| title_fullStr | The Effect of Hysteroscopy on Fertility in Women with Unexplained Infertility |
| title_full_unstemmed | The Effect of Hysteroscopy on Fertility in Women with Unexplained Infertility |
| title_short | The Effect of Hysteroscopy on Fertility in Women with Unexplained Infertility |
| title_sort | effect of hysteroscopy on fertility in women with unexplained infertility |
| topic | dysfunctional uterine bleeding hysteroscopy infertility pregnancy |
| url | https://gazimedj.com/articles/the-effect-of-hysteroscopy-on-fertility-in-women-with-unexplained-infertility/doi/gmj.2024.4128 |
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