Why Hysteroscopy Is Essential Before IVF

Why Hysteroscopy Is Essential Before IVF
Saturday, 07 November, 2020

Why Hysteroscopy Is Essential Before IVF

The world has seen great advancements in Assisted Reproduction Technology. Hysteroscopy is one of them. Especially when it comes to IVF treatment the hysteroscopy is inevitably discussed. And recent research reveals the need for IVF treatment.

What is Hysteroscopy?

Generally, fertility specialists recommend hysteroscopy in order to assess the likely causes of infertility. There are several tests which include semen analysis, a transvaginal ultrasound, HSG (Hysterosalpingograms), a blood test to assess ovarian function and hysteroscopy is one of them.

Hysteroscopy procedure is used for diagnosing and treating the problems related to the uterus. In this procedure, the telescope is fitted with a camera and light source. It is inserted into the uterine cavity, through the vagina, through the mouth or womb. This test allows us to have a view of the uterine cavity, endometrial lining, shape as well as the volume of the endometrial cavity and gives a perfect diagnosis of the problem. Hysteroscopy is particularly useful to plan the direct treatment of uterine pathologies under the vision.

  • Polyp: Polyp is an extra or unwanted growth of the inner uterine layer. This is known as the endometrium. It can cause infertility because of mechanical interference for the transmission of sperm and embryo, thereby causing a change in endometrial receptivity and damage to embryo implantation.
  • Uterine Septum: This fibrous band divides uterine cavity into two. Uterine Septum may be partial or full and it causes infertility, miscarriage or premature birth.
  • Fibroids: These are sort of tumors of the muscular wall of the uterus. They are otherwise supposed to be benign. Fibroids are known to be subserosal, intramural, and submucosal. Amongst them, submucosal fibroids are found in the cavity of the uterus. It distorts the uterine cavity and even minor damage displacement in their location may cause bleeding and infertility.
  • Uterine adhesions: These scar tissues are found inside the uterine cavity. The scars could be mild having a fragile band or sometimes they may be more severe because of the formation of thick bands. The uterine cavity may suffer partial or total damage due to such severe scars. This could happen because of previous surgery or some infection of the endometrium.

Hysteroscopy is also used to ascertain the cases with repeated miscarriage and frequent IVF failure. This helps to understand the exact reason for such recurrent problems and planning proper treatment for it.

Hysteroscopy and IVF

Unproductive IVF attempts are because of the factors in the embryo, e.g. genetic problems, problems related to the uterus or in rare cases because of other issues affecting implantation.

Some studies appear to find certain benefits to hysteroscopy after the failure of the IVF cycle. Some fertility doctors routinely conducted this test on every woman prior to the commencement of IVF treatment. They thought that the removal of polyps or scar tissues before the beginning of IVF treatment would give them a better chance of success.

Therefore, several confusing questions may hover in your mind. Should I have hysteroscopy before I begin the IVF procedure? Is it really necessary or an invasive kind of procedure without any reason? Is it beneficial and can it assure me a better chance of success?

Well, the experts have no consensus opinion on this. Most of them think that it is better to perform a preliminary non-invasive test prior to IVF treatment. But with the advancements like transvaginal sonography (TVS), hysterosalpingography (HSG) and sonosalphigography, many experts think that hysteroscopy is unwarranted. But that does not mean that the necessity of hysteroscopy is totally ruled out. It is particularly useful to find out abnormalities if any, identified on the non-invasive tests. It may be necessary if the endometrium is not looking optimal or to assess the causes of recurrent implantation failure or abortion. It is useful in the correction of pathologies and improving better pregnancy results. Thus it is found to be beneficial in saving the expenses of patients who are opting for repeated IVF cycle where failures are experienced because of missed pathologies.

In conclusion, we can say that hysteroscopy is a very helpful diagnostic tool in IVF. A good evaluation of the uterine cavity, as well as assessment of endometrium, is necessary prior to the beginning of IVF treatment. Particularly an experienced and expert fertility doctor can point out subtle issues that may otherwise be overlooked. Xenith being dedicated infertility and IVF Center in Pune & PCMC, have fertility experts looking into details of every aspect and work together with you to find the best solution that suits you.