Hysteroscopy and why macroscopic uterine factors matter for fertility

Hysteroscopy is the gold standard for identifying macroscopic intrauterine pathology, which can have meaningful effects on reproductive outcomes.

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Volume 112, Issue 2, Pages 203–210


J. Preston Parry, M.D., M.P.H., Keith B. Isaacson, M.D.


For humans, the uterus is their first home. Accurate evaluation and effective therapy are central to optimizing the conditions for implantation and sustained pregnancy. For macroscopic intracavitary disease, hysteroscopy remains the gold standard for diagnosis and treatment. We review the role of hysteroscopy before fertility therapies. We also address intracavitary pathologies and their relevance to procreative outcomes. Controversies in the literature are noted and clarified, and trends in the field of hysteroscopy are identified regarding how they will influence the future of reproductive care and women's health.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.