The Vital Role of Hysteroscopy in IVF: A Comprehensive Guide

Hysteroscopic Fertility Enhancing Surgeries refer to minimally invasive procedures performed using a hysteroscope (a thin, lighted telescope inserted into the uterus through the cervix) to diagnose and treat intrauterine abnormalities that can impair fertility.

These surgeries aim to restore normal uterine anatomy and function, thereby improving the chances of natural conception or success with assisted reproductive techniques like IVF.

Indications (Why they're done)

These surgeries are recommended for women experiencing:

  • Recurrent miscarriages
  • Infertility of unknown cause
  • Abnormal uterine bleeding
  • Failed IVF cycles
  • Suspected uterine abnormalities (e.g., on ultrasound or HSG)

Common Hysteroscopic Fertility-Enhancing Procedures

1. Hysteroscopic Septum Resection

  • Indication : Uterine septum (a congenital malformation linked with miscarriages and infertility)
  • Procedure : The septum is cut using scissors, electrosurgery, or laser to restore a normal uterine cavity.

2. Hysteroscopic Adhesiolysis

  • Indication : Intrauterine adhesions (Asherman’s Syndrome), often due to previous surgeries or infections
  • Procedure : Adhesions are cut and removed to restore the cavity and endometrial function.

3. Hysteroscopic Polypectomy

  • Indication : Endometrial polyps (can interfere with implantation)
  • Procedure : Polyps are removed using scissors, electrosurgery, or a morcellator.

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