Office Histeroscopy In Unexplained Infertile Women :The Most Common Abnormal Histeroscopic Findings

Objective: Cervical canal and uterine cavity are evulated by office hysteroscopy (H/S) to determine the intrauterine abnormal findings in unexplained primary and secondary infertile women . Material and method: This study is a retrospective study that included 102 primary and secondary infertile patients with unexplained infertility and who had not previously had office hysteroscopy , applied to infertility and IVF clinic of Harran University Training and Research Hospital between December 2016 and October 2017. Patients' age, infertility type, duration of infertility, body mass index (BMI), complications and hysteroscopic findings were recorded from patient files. Patients were divided into 3 groups of 20-30, 31-35, 36-40 years infertile women. Infertile women between 20 and 30 years of age were accepted as younger age group and other ages were accepted as elder groups. Office hysteroscopy was performed by 3 experienced physicians. Results: 81.37% (83/102) of patients were primary infertile and 18.63% (19/102) were secondary infertile. In women with unexplained infertility, abnormal hysteroscopic findings were found in 38.2%. 60.24% (49/82) of the primary infertile patients and 73.68% (14/19) of the secondary inferitile patients who underwent hysteroscopy did not have any uterine pathological findings. Endometrial polyp was most common abnormal hysteroscopic finding in both groups (9.8% (10/102)). Uterine septum was the second most common finding (8.8% (9/102)). The incidence of endothelial polyp and septum were high in advanced age women, and incidence of endometrial polyp and inflammation were high in young age group. Conclusion: In unexplained infertile patients who underwent histeroscopy , high proportion of uterin abnormalit？es were detected. These abnormalities may impair the success of future ？nfertility treatment cycles so diagnosis of these pathologies ？s very important. Office hysteroscopy can be regarded as the ideal first-line diagnostic procedure in these patients due to easy tolerating of the patient and minimal risk for the patient