Background: Intrauterine environment is considered one of the most important factors for successful pregnancy. Repair of uterine septal defects can help to achieve live birth in patients with history of infertility and Bad Obstetric History (BOH).
Objective: To evaluate the spontaneous pregnancy and live birth outcome following hysteroscopic septal resection in patients with history of primary infertility and bad obstetric history
Methodology: This is a retrospective study, including one hundred patients, attended infertility centre Misurata during the period (January 2016- December 2017). Mean age 30 years(SD±5.5). They had history of infertility and bad obstetric history (abortion and preterm delivery). Hysteroscopic metroplasty performed via bipolar versapoint system. Reproductive performance in the form of live birth after septum resection analysed during the period of one year after the operation.
Results: Hysteroscopic septal resection was performed on sixty patients (60%) with primary infertility, postoperative pregnancy rate was 28.3%, live birth rate was 21.7% , other forty patients (40%) with abortion and BOH, 50% got spontaneous pregnancy , 42.5% of them got live birth these differences are significant .
Conclusion: Hysteroscopic septum resection using bipolar versapoint system can significantly improve the live birth rates in patients with history of infertility and BOH.
Recommendation: Use of hysteroscopy routinely in cases with of infertility and Bad Obstetric History (BOH) for the diagnosis and treatment of uterine pathologies.
 
C Correspondence: bouthinagreiw@gmail.
Research Centre, National infertility centre Assisted reproductive technique unit, Misurata Libya.