الفهرس 
Anatomy of the Uterus, Diagnosis of Uterine Cavity Abnormalities & Classification of LeiomyomasOnly 14 pages are availabe for public view
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Abstract
This was a prospective observational study aimed to study the role of
hysteroscopy in repeated IVF/ICSI failure and its impact on subsequent trials.
50 patients were enrolled randomly from assisted reproductive unit in Tanta
University. We included only patients with history of two or more failed
IVF/ICSI despite of delivery of at least two good embyos.
Any patient with age more than 38 years, BMI more than 29, has
uterine abnormality by US or has any systemic or endocrilnal disease was
excluded from the study.
Informed written consent was taken from every included patient. After
full history and examination, all patients were subjected to 4D US
examination with same device (Siemens acuson X300). Then from day 7 day
11 from menstruation hysteroscopy was done to all patients using saline as a
distention medium.
Results showed that by 4D US, 82% had unremarkable findings.
According to abnormal findings, the number of patients that had polyp,
endometritis, myoma, and septum was 4,1,3 and 1 patients respectively and
those represented 8%, 2%, 6% and 2% respectively. while by hysteroscopy,
60% had unremarkable findings. According to abnormal findings, the number
of patients that had polyp, endometritis, myoma, and septum, narrow
cavity, short cevix and adhesive band was 43,7,2,3,3,1 and 1 and 1
patients respectively and those represented 6%, 14%, 4% , 6%, 6% , 2% and
2% respectively.