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Obstetrics and Gynecology International
Volume 2010, Article ID 168096, 4 pages
Clinical Study

Office Hysteroscopy for Infertility: A Series of 557 Consecutive Cases

1Department of Obstetrics and Gynecology, Hôpital Bichat, 46, rue Henri-Huchard, 75018 Paris, France
2Department of Obstetrics and Gynecology, Hôpital Tenon, Paris, 4, rue de la Chine, 75020 Paris, France
3Department of Obstetrics and Gynecology, Hôpital Pitié, 47-83 boulevard de l'Hôpital, 75013 Paris, France

Received 28 November 2009; Accepted 2 February 2010

Academic Editor: John C. Morrison

Copyright © 2010 Martin Koskas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To study incidence of abnormal hysteroscopic findings according to age. Methods. We retrospectively studied 557 consecutive office hysteroscopies in patients referred for incapacity to conceive lasting at least 1 year or prior to in vitro fertilization. Rates of abnormal findings were reviewed according to age. Results. In 219 cases, hysteroscopy showed an abnormality and more than a third of our population had abnormal findings that could be related to infertility. Rates of abnormal findings ranged from 30% at 30 years to more than 60% after 42 years. Risk of abnormal finding was multiplied by a factor of 1.5 every 5 years. Conclusion. Our data are an additional argument to propose office hysteroscopy as part of first-line exams in infertile woman, regardless of age.