Background: Infertility is a growing concern of the society. Hysteroscopy has become the gold standard for diagnosis of intrauterine abnormalities. Intrauterine lesions such as adhesions, uterine septum polyps or submucous myomas are diagnosed much more precisely by hysteroscopy and are detectable in 10-15% of women seeking subfertility therapy.
Aim of the Work: to assess the role of hysteroscopy in the detection of undiagnosed uterine abnormalities in cases with unexplained infertility.
Subjects and methods: This is a cross-sectional study that was carried out at the endoscopy unit in Al-Hussein and Sayed Galal hospitals on 100 women with unexplained infertility over a period of 6 months from January to June 2020.
Result: Hysteroscopy was significant with sensitivity of 97.8% and specificity of 100% while PPV was 100% and NPV was 84.6% with accuracy of 98%.
Conclusion: A hysteroscopy should be performed as being among the standard procedures in the programme of reproductive work-up prior to a final diagnosis of inexplicable infertility being made. Because of the significant enhancement in pregnancy results after the hysteroscopic operation, this approach is not only regarded as the optimal gold standard for finding numerous intrauterine anomalies that are undiscovered with other standard techniques, but it further validates the previously stated recommendation. Furthermore, it is proposed that further research be performed to back up this claim.