Background: Hysteroscopy, a technique of exploring and manipulating the endometrial cavity transcervically, has revolutionized the diagnosis and management of intrauterine illness in gynecologic practice. It is a minimally invasive procedure that may be used to analyze data and treat a variety of intrauterine and endocervical issues.
Objective: The study's goal was to see whether there was a role for operational hysteroscopy in boosting pregnancy rates and decreasing patient complaints in women with primary infertility and identified intrauterine abnormalities.
Patients and methods: This is prospective research that took place at Elhussein & Elsayed Galal University hospital, Al-Azhar University and this study included 100 of patients whom suffered from 1ry infertility due to intrauterine lesions such as (Polyp-Submucous fibroid-Intrauterine adhesions- Septum) during the period of (2020 & 2021).
Results: After operative hysteroscopy the reproductive outcome was 54 out of 100 patients (54%) achieved pregnancy. Of those, 51 women had singleton pregnancies while 3 women had twin pregnancies. Of the 54 patients who achieved pregnancy, 14 patients aborted, 32 patients continued to term pregnancy and 8 patients had preterm delivery and live births was 40 (74%).
Conclusion: Our results imply that correcting any uterine anomalies, no matter how modest, enhances the chances of conception in infertile women with no other underlying reasons of infertility.