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347671

New Hysteroscopic View in Chronic Endometritis

Article

Last updated: 24 Dec 2024

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Abstract

Background: Chronic endometritis (CE) reflects a chronic inflammatory state within endometrium. This study aimed to investigate the value of hysteroscope in diagnosing chronic endometritis and also evaluate the prevalence of chronic endometritis in patients with recurrent implantation failure and recurrent pregnancy loss by hysteroscope and biopsy. Methods: This is a prospective interventional study that was performed at Benha University Hospital and a private gynecology center during the period from June 2022 and December 2022. The study included 20 women undergoing hysteroscope indicated by common conditions such as chronic pelvic pain, recurrent implantation failure, and recurrent miscarriage during the study period. The study patients underwent office hysteroscope examination and histopathological examination. Results: There were statistically significant differences between patients with chronic endometritis and those without in the presence of diffuse endometrial hyperemia (p=0.005) and dilated vessels (p=0.035), with statistically higher scores in the group of chronic endometritis (p=0.002). The ROC revealed that a score cutoff value of > 2 was able to diagnose chronic endometritis with an excellent performance (AUC=0.923). It showed a sensitivity of 87.5% and a specificity of 85.7% (p=0.002). There was substantial agreement between the hysteroscopic diagnosis by the new scoring system and the histopathological diagnosis (kappa=0.792 and p=0.002). Conclusion: From the study findings, hysteroscopy is a recommended useful diagnostic tool in chronic endometritis screening in asymptomatic infertile women.

DOI

10.21608/bmfj.2024.207156.1804

Keywords

New, Hysteroscopic View, chronic endometritis

Authors

First Name

Mohammed

Last Name

AlSherbiny

MiddleName

Farag

Affiliation

Gynecology and obstetrics department Faculty of medicine Benha university

Email

mohfarag171@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Mohamed

MiddleName

Ibrahim

Affiliation

Professor of Obesterics and Gynecology Faculty of Medicine-Benha University

Email

moh2005x@gmail.com

City

-

Orcid

-

First Name

Mariam

Last Name

Frazily

MiddleName

Morad

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Benha University

Email

tomsgad95@gmail.com

City

-

Orcid

-

First Name

Shreen

Last Name

Abo El Ezz

MiddleName

Naguib

Affiliation

Lecturer of Obesterics and Gynecology Faculty of Medicine-Benha University

Email

shreennaguib@gmail.com

City

-

Orcid

-

Volume

41

Article Issue

4

Related Issue

49714

Issue Date

2024-08-01

Receive Date

2023-04-24

Publish Date

2024-08-01

Page Start

152

Page End

161

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_347671.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=347671

Order

557

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

New Hysteroscopic View in Chronic Endometritis

Details

Type

Article

Created At

24 Dec 2024