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Routine Hysteroscopy Before IVF
Pooling the results of five studies showed benefit from outpatient hysteroscopy in
improving pregnancy rate in the subsequent IVF cycle
(RR = 1.75, 95% CI 1.51–2.03)
Biological explanation
• Identification/Correction of uterine pathology
• Facilitatefuturetransfers
(CX dil., direction and depth)
(Groutz et al., 2007, F&S; Pabuccu et al., 2005, JMIG)
• Endometrial injury / stimulation (Barash et al, 2003; Raziel et al, 2007; Zhou et al., 2008 – all F&S)
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