Batiza Resendiz Víctor Alfonso*, Galindo Martínez Eugenio Alfredo, González Berchelman Lorenzo, Aguayo Macías Eduardo, Santoveña Santoveña Vania, Islas Escudero Carmen Adriana, Castañeda Loya Alfonso Gerardo and Gil Morán Arnoldo

Fertilità, Centro de Medicina Reproductiva, Monterrey, Nuevo León, Plaza Paralelo Obispado, N.L., México

*Corresponding Author: Batiza Resendiz Víctor Alfonso, Fertilità, Centro de Medicina Reproductiva, Monterrey, Nuevo León, Plaza Paralelo Obispado, N.L., México.

Received: August 25, 2023; Published: November 06, 2023

Abstract

Objective: To describe the prevalence of intrauterine pathology by hysteroscopy in infertile women treated at Fertilità.

Material and Method: Retrospective, observational, descriptive study of patients undergoing hysteroscopy between January 2020 and December 2022. Inclusion criteria: infertile women under 42 years of age with intrauterine pathology, who authorized hysteroscopy. Statistical analysis: GraphPad Prism 8.0.2 (GraphPad Software, Inc., San Diego, CA, USA). 95% CI for all proportions using the Wilson-Brown method. Fisher's exact test to compare proportions. The probability of pregnancy was calculated using Kaplan-Meier analysis. P < 0.05 was considered significant.

Results: Of 298 digital records, age, time and type of sterility were reviewed. Hysteroscopic findings in primary infertility: endometrial polyp, 78.1%; endometrial hyperplasia, 16.5%; endometritis, 3.3%; fibroids, endometrial Ca control before in vitro fertilization: 0.66% each. In secondary infertility: endometrial polyp, 71.4%; endometrial hyperplasia, 22.4%; myomatosis, insufficient sample, 1.36%. Endometrial Intraepithelial Neoplasia, acute endometritis, embryonic remains and longitudinal septum, 0.68%. 45.3% of the patients achieved pregnancy after hysteroscopy with some assisted reproductive technique.

Conclusions: In infertile patients with intrauterine pathology, the most frequent is endometrial polyposis. Other frequent pathologies are endometritis, hyperplasia and uterine fibroids. In clinical practice, imaging techniques will continue to be first-line tools for the study of the uterus and endometrium, but hysteroscopy is the gold standard for confirming the diagnosis and for its treatment.

Keywords: Hysteroscopy; Endometrial Polyp; Endometrial Hyperplasia; Endometritis; Myoma; Uterine Septum

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Citation

Citation: Batiza Resendiz Víctor Alfonso., et al. “Endometrial Pathology in Patients with Infertility: Experience at Fertility, Reproductive Medicine Center". Acta Scientific Agriculture 1.1 (2023): 09-15.

Copyright

Copyright: © 2023 Batiza Resendiz Víctor Alfonso., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.