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ENDOMETRITIS AND HYSTEROSCOPY IN ART
• Other studies also shiw that hysteroscopy is not a diagnostic tool regarding endometritis
• It should be associated with hystology and microbiology
• CE is frequently found in infertile patients with unknown etiology (28%), repeated embryo implantation failure following IVF-ET (30%), and unexplained miscarriages (12%), according to data cited by kitaya et al 2013
• The antibiotic therapies targeting C. Trachomatis and N. Gonorrhoeae such as cefixime and azithromycin failed to preserve fertility of these women with CE
Kitaya et al. Current understanding of chronic endometritis. Diagnostic Histopathology 2013; 19:7
INTRAUTERINE ADHESIONS AND ART
• Major distortions of uterine cavity impair embryo transfer
• Cervical stenosis is encountered in 9% of difficult embryo trasfer (Laroue et al 2017)
• Diagnostic of IUA before IVF should delay the transfer/ cycle after treating the pathology
• Some authors (Xu et al 2018) advocate a second look after IUA treatment in 2 months before transfering thawed embryos
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