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What are the indications for hysteroscopy?

  • Repeated failed IVF attempts
  • Recurrent miscarriages
  • Suspected endometrial polyps
  • Suspected submucosal fibroid
  • Suspected congenital anomaly of the uterus (diaphragm)
  • Suspected endometrial adhesions (Asherman Syndrome)
  • Irregular menstrual bleeding
  • Abnormal and thick endometrium
  • Thin endometrium
  • Suspected endometritis

Hysteroscopy appears to improve IVF success rates in couples suffering from chronic infertility. In case of detected pathology, the procedure from diagnostic can be turned into operative with the excision or correction of the detected pathology. In addition, an endometrial biopsy can be obtained both for histological examination as well as determination of the uterine microbiome, which appears to play its part in the modulation of endometrial receptivity.

Even in the absence of obvious pathology and especially in couples with multiple failed attempts despite transferring good quality embryos, we offer our patients intrauterine scratching with scissors.