How Hysteroscopy in IVF is important?

How Hysteroscopy in IVF is important?

  • Mediworld Fertility
  • Dec 24, 2020
Hysteroscopy for IVF

What is Hysteroscopy?

Hysteroscopy is a process used to diagnose and treat problems related to the uterus, as defined by the American College of Obstetricians and Gynaecologists (ACOG). It is carried out by using a thin, long, flexible and lighted device known as a hysteroscope, which is inserted into the uterus through the vaginal opening. The doctors utilize this lighted device to look inside the uterus and find the cause of the problem.

In cases of irregular or abnormal uterine bleeding, hysteroscopy is commonly advised. Some other issues include extended periods, occurring too often or less than normal, bleeding between periods, experiencing heavy or very light flow, and so on. This process is also beneficial in locating (IUD) Intrauterine Device, performing sterilization on fallopian tubes, and to remove scar tissues. Hysteroscopy is one of the tests apart from semen analysis, TVS, HSG, and blood tests that a doctor prescribes to check for possible causes of infertility.

Why is it essential for IVF?

Several women face problems in the natural conceiving process. Therefore, there has been a rise in the number of IVF procedures done. While numerous successful cases have come to light, there have been some unsuccessful attempts as well. This might be due to embryo abnormality caused by genetic issues or other factors related to the woman’s uterus health. With time, such unsuccessful IVF attempts were studied, and hysteroscopy was performed to identify the cause of failures. They might find extra uterus growth, scar tissues, or other factors that can be removed and rectified.

In some cases, it has been clarified that hysteroscopy in IVF may not be the first step if HSN/HSG is performed before. HSN is HysteroSonography that involves infusion of a small amount of saltwater in the uterus and performing ultrasound for better clarity. This process is non-invasive and preferred by most of the women as a first-level check in case of IVF failure. HSG is Hysterosalpingography that involves using a particular x-ray machine and dye to look into the fallopian tubes and the womb. In most cases, HSN and HSG may be the first steps, but not the final ones to accurately diagnose the problem. For that purpose, hysteroscopy is required for a final thorough look. This provides accurate results and helps diagnose and treat the right cause of infertility. Hence, Hysteroscopy is a successful methodology to pave the way for IVF.

How Hysteroscopy improves success rates for IVF?

IVF can be successful on the first try only if the uterus and internal health of the woman are up to mark. What most do not realize is that women are not able to conceive because there might be a problem naturally. If that problem proves to be a hindrance, then even IVF might not prove to be successful.

Hence, the Hysteroscopy process is required to be performed even before the first attempt at IVF is made. This will ensure that any abnormality, scar tissues, extra growth, etc., can be identified and rectified beforehand. This will significantly improve the success rate of IVF procedure in the first attempt. Therefore, by ensuring that the hysteroscopy process is carried out before IVF first attempt, one can greatly improve the hysteroscopy IVF success rate.

Who is eligible for Hysteroscopy Procedure?

Hysteroscopy procedure is referred to only those cases where the women have not been able to conceive naturally and are looking to solve any issue that may be diagnosed. Mostly, eligibility of the hysteroscopy depends on the women who:

  1. Have a prior failed case of IVF attempt
  2. Received positive abnormal finding during any ultrasound procedure
  3. Are unable to conceive naturally and wish to find the cause

In each of the cases the procedure works like a gem and can be used for:

  1. Assessing and removal of scar tissues, polyps, or fibroids
  2. Performing biopsy
  3. Evaluating uterine structure
  4. Identifying uterine septum, tumours, precancerous tissue, inflammation, or chronic infections

Any woman suffering from any of the above can get an accurate diagnosis through hysteroscopy and the appropriate IVF treatment in Delhi that comes with it. After this, women may choose to go for IVF, which would most likely prove to be successful if the final report of hysteroscopy is clean.


If you are ready for the IVF procedure, getting a hysteroscopy procedure underway might be the best solution to ensure the maximum success rate. In case you are not sure about the decision, you must consult a good doctor who might be able to assess your situation, understand your history, and then provide you with the best solution.

You might be wondering if the hysteroscopy process is safe. As per most case studies, not more than 0.4% have experienced infection with a small amount of bleeding. However, this is not a long-lasting effect. To be specific, you may refer to your consulting doctor for a better idea.

Another thing most people are concerned about is hysteroscopy cost in Delhi. Without a doubt, hysteroscopy is a regular cost procedure and compared to IVF; it is negligible. Therefore, before moving onto a costly procedure like IVF, it is vital to ensure that not more than one attempt is needed to ensure success. Therefore, hysteroscopy is highly beneficial in terms of long-term health benefits as well as monetary savings.

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