[Hysteroscopy for early abortion after IVF-ET: clinical analysis of 84 cases].

OBJECTIVE

To evaluate the results of hysteroscopy in early abortion patients after in vitro fertilization-embryo transfer (IVF-ET).

METHODS

We analyzed the hysteroscopy results of 84 early abortion patients after IVF-ET, treated their intrauterine diseases under the hysteroscopy, and observed the pregnancy outcomes of retransfer.

RESULTS

Intrauterine diseases were found in 58 (69.05%) of the patients, including intrauterine adhesion in 32 (32/84, 38.10%), endometrial polyps in 12 (12/84, 14.29%), endometritis in 10 (10/84, 11.90%), submucous leiomyoma in 3 (3/84, 3.57%) and septa in 1 (1/84, 1.19%). These 58 patients underwent IVF/ICSI or frozen embryo retransfer within one year after the hysteroscopic treatment, of whom 22 (37.93%) achieved pregnancy and 1 (4.55%) suffered early abortion.

CONCLUSION

Hysteroscopy should be taken as the first-choice intervention measure in early abortion after IVF-ET, and appropriate hysteroscopic treatment may improve the outcome of IVF-ET.