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Date Published: 30/03/2023
Abstract Views: 338
Views PDF: 221
DOI: https://doi.org/10.51298/vmj.v524i2.4814
Issue
Vol. 524 No. 2 (2023)
Section
Các bài báo
How to Cite
Vũ , T. N., Lê, Q. Đô ., Nguyễn, M. T. ., Nguyễn, M. T. ., Nguyễn, P. H. ., Nguyễn, T. X. Q. ., Lã, T. H. ., Trần , T. T. H. ., & Lê, H. . (2023). OFFICE HYSTEROSCOPY RESULTS IN PATIENTS WITH RECURRENT IMPLANTATION FAILURE AT TAM ANH GENERAL HOSPITAL. Vietnam Medical Journal, 524(2). https://doi.org/10.51298/vmj.v524i2.4814

OFFICE HYSTEROSCOPY RESULTS IN PATIENTS WITH RECURRENT IMPLANTATION FAILURE AT TAM ANH GENERAL HOSPITAL

Thị Ngọc Vũ 1,, Quang Đô Lê2, Minh Thúy Nguyễn2, Minh Thúy Nguyễn2, Phúc Hiếu Nguyễn2, Thị Xuân Quỳnh Nguyễn2, Thị Huyền Lã2, Thị Thu Hạnh Trần 3, Hoàng Lê2
1 Tam anh hospital
2 Tam Anh hospital
3 National hospital of obstetrics and gynecology

Main Article Content

Abstract

Objectives: To describe the clinical characteristics and evaluate the results of office hysteroscopy in patients with recurrent implantation failure at Tam Anh General Hospital. Methods: A descriptive study on 98 patients at Tam Anh General Hospital who had failed embryo transfer twice or more consecutively was carried out from January 2021 to October 2022. Results: 98 patients were included in the study, 48% of which had unexplained infertility. The mean age and duration of infertility were 34.46 ± 5.16 years and 5.05 ± 2.86 years, respectively. 55.1% of patients exhibited uterine cavity abnormalities during office hysteroscopy, with the most common is endometritis accounting for 29.6%. The median time to perform the procedure was 3 (3) minutes, the mean VAS pain score was 3.02 ± 1.22 points. No complications related to office hysteroscopy were noted. Conclusion: A office hysteroscopy was able to detect intrauterine pathologies which were missed by other investigative modalities. In individuals who have experienced repeated implantation failure, office hysteroscopy is a safe and practical approach that should be recognized as a crucial tool for  intrauterine evaluation.

Article Details

Keywords

Recurrent Implantation Failure (RIF), In Vitro Fertilization (IVF), Office Hysteroscopy (OH).

References

1. Busnelli A., Reschini M., Cardellicchio L. và cộng sự. (2020). How common is real repeated implantation failure? An indirect estimate of the prevalence. Reprod Biomed Online, 40(1), 91–97.
2. Kitaya K., Matsubayashi H., Takaya Y. và cộng sự. (2017). Live birth rate following oral antibiotic treatment for chronic endometritis in infertile women with repeated implantation failure. Am J Reprod Immunol, 78(5).
3. Mascarenhas M., Jeve Y., Polanski L. và cộng sự. (2021). Management of recurrent implantation failure: British Fertility Society policy and practice guideline. Hum Fertil (Camb), 1–25.
4. Shaulov T., Sierra S., và Sylvestre C. (2020). Recurrent implantation failure in IVF: A Canadian Fertility and Andrology Society Clinical Practice Guideline. Reproductive BioMedicine Online, 41(5), 819–833.
5. El-Toukhy T., Campo R., Khalaf Y. và cộng sự. (2016). Hysteroscopy in recurrent in-vitro fertilisation failure (TROPHY): a multicentre, randomised controlled trial. Lancet, 387(10038), 2614–2621.
6. Lensen S., Osavlyuk D., Armstrong S. và cộng sự. (2019). A Randomized Trial of Endometrial Scratching before In Vitro Fertilization. New England Journal of Medicine, 380(4), 325–334.
7. Gao M., Sun Y., Xie H. và cộng sự. (2015). Hysteroscopy prior to repeat embryo transfer may improve pregnancy outcomes for asymptomatic women with repeated implantation failure. J Obstet Gynaecol Res, 41(10), 1569–1576.
8. Zargar M., Ghafourian M., Nikbakht R. và cộng sự. (2020). Evaluating Chronic Endometritis in Women with Recurrent Implantation Failure and Recurrent Pregnancy Loss by Hysteroscopy and Immunohistochemistry. J Minim Invasive Gynecol, 27(1), 116–121.