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REVIEW article

Front. Endocrinol.
Sec. Reproduction
Volume 15 - 2024 | doi: 10.3389/fendo.2024.1489783
This article is part of the Research Topic Infertility and Endometriosis View all 10 articles

Whether hysteroscopy improves fertility outcomes in infertile women: a meta-analysis and systematic review

Provisionally accepted
Yidi Wang Yidi Wang 1*Zunhao Tang Zunhao Tang 2Xiuxiang Teng Xiuxiang Teng 3Chanchan Wang Chanchan Wang 3Junqin He Junqin He 1*
  • 1 Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, Beijing Municipality, China
  • 2 Shandong University of Traditional Chinese Medicine, Jinan, Shandong Province, China
  • 3 Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, Beijing Municipality, China

The final, formatted version of the article will be published soon.

    Purpose Infertility is affecting more and more couples of appropriate age. Hysteroscopy (HSC) has certain effects on the uncompleted pregnancy and live birth caused by uterine microenvironment. Based on the evidence, this paper systematically evaluates the effectiveness and safety of HSC intervention on the fertility outcome of female infertility. Methods Randomized controlled trials (RCTS) of hysteroscopy intervention in female infertility were included in the literature database. The retrieval time was from the establishment of the database to December 10, 2022. RevMan 5.4 software was used for statistical analysis to study the effects of HSC on clinical pregnancy rate, live birth rate and abortion rate. Results A total of 14 RCTS were included. Five studies evaluated the effect of HSC on live birth rate, and HSC had an overall positive effect on live birth rate. Fourteen studies evaluated the effect of HSC on clinical pregnancy rates, and preoperative HSC was associated with significant improvements in pregnancy rates for both first-time IVF/ICSI patients and repeat IVF/ICSI patients. Eight studies showed no significant difference in the effect of HSC on miscarriage rates. Conclusion As a visual examination/treatment technique, HSC can improve the clinical pregnancy rate and live birth rate in most studies, while the risk of abortion is within the acceptable range, and can be used as a recommended examination method for infertile women.

    Keywords: Infertility, Hysteroscopy, IVF/ICSI, Meta-analysis, Pregnancy

    Received: 01 Sep 2024; Accepted: 26 Nov 2024.

    Copyright: © 2024 Wang, Tang, Teng, Wang and He. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Yidi Wang, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, Beijing Municipality, China
    Junqin He, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, Beijing Municipality, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.