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Evidence into Routine Practice
• Significant difference (p-value AND 95%CI)
• Biological plausability and clinical sense
H Evers, 2016
. Methodological robustness . Reproducability
Conclusions
• Optimisation of the uterus before IVF improves outcome
• Resection of endometrial polyps and submucous fibroids
before IVF improves outcome (Level I)
• Hysteroscopic adhesolysis and metroplasty may improve IVF outcome (Level II-III)
• There is yet no agreement on management of adenomyosis
• Routine hysteroscopy doesn’t improve IVF outcome
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