Chromohystroscopy after Failed Intracytoplasmic Sperm Injection (ICSI)

Document Type : Original Article

Authors

Department of Obstetric and gynecology, Faculty of medicine, Alexandria University.

Abstract

Background: Intra cytoplasmic sperm injection (ICSI), is a procedure adopted
worldwide as the ultimate micro-assisted fertilization approach due to its clinical
success.
Objectives: The objective of this study was to assess the value of using Chromohystroscopy modality in
infertility workup after failed ICSI procedures in evaluating uterine receptivity and detect any signs of chronic
endometritis by a less invasive method.
Methods: prospective cohort study. A total of 50infertile patients recruited from the infertility clinic in El-Shatby
University Hospital, Faculty of Medicine, Alexandria University. Cases were allocated into two groups. The first
group includes cases that had a failed trial of intracytoplasmic sperm injection. The second group includes control
cases from patients seeking for fertility treatment with no previous history of intracytoplasmic sperm injection
and with no history of anatomic uterine abnormalities. The selected sample size was found to be 50 women, and
were randomly selected and allocated in two groups each group was 25 women after fulfilling the inclusion
criteria.
Results: There was a statically significant increase in the incidence of endometritis among the study group 68%
in comparison to 16% in the control group.
Conclusions: In this study.Endometrial dyeing with methylene blue at hysteroscopy improves the detection of
chronic endometritis.

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