The value of hysteroscopic examination in implantation failure in in vitrofertilization

Object : we attempt to determine the usefulness of uterine re-assessment by hysteroscopy in women with two unsuccessful IVF-ET attempts. Material and method, this retrospective study concerns seventy-three infert ile women who have had a repeat uterine hysteroscopy after two implantation failures in IVF: Results, in half the cases, an abnormality was diagnosed. Cervical abnormal ities (synechia, polyp, false passage) and hormono-dependant abnormalities (polyp, hyperplasia, submucous myoma) were the most frequent findings, The rate of pregnant women raises to twenty-two percent after treatment of thes e abnormalities. Conclusion, regarding our experience, if seems legitimate to perform hyster oscopy in women who have had two IVF-ET failures before attempting a third procedure.