Objective: To assess the role of office hysteroscopy (OH) in the evaluation of infertile women with normal HSG who fail to conceive after undergoing controlled ovarian stimulation/intrauterine insemination (COS/IUI).Design: Prospective cohort study.Materials and methods: The study included 141 patients with absent dewalt dxcmv5048055 pelvic pathology on trans vaginal sonography and HSG and history of failed three or more trials of COS/IUI.
Office hysteroscopy was then done and any detected intrauterine pathology was recorded.Results: A total of 141 patients were examined by OH of which 26 patients proved to have uterine pathology, giving a false negative rate 9021 glow of (18.4%) of HSG.
The overall agreement between HSG and OH was 81.6%.Conclusion: Significant uterine pathology was proved in 18.
4% infertile women in spite of normal HSG results.OH has a role in infertile women with no obvious abnormality on HSG before they proceed to more aggressive treatment.