Table 2 Characteristics and findings of hysteroscopy in included RCTs
Author, publication year | Abnormal hysteroscopy | Etiology of unsuspected lesions1 | Instrument | Anesthesia/ Sedation | Timing of procedure/subsequent ART |
|---|---|---|---|---|---|
Demirol et al. (2004) | 26.7% | EM polyps 15.7% IUA 8.5% Cervix stenosis 2.3% | 5 mm diameter with 5 Fr working channel, 30° view (Bettocchi) | Midazolam 0.1 mg/kg IV when needed | Early follicular phase/NA |
Raju et al. (2006) | 38.0% | EM polyps 12.8% Abn Cervix 12% IUA 4.8% EM hyperplasia 4.8% Fibroids 0.4% Anomalies2 3.2% | 5 mm diameter with 5 Fr working channel, 30° view (Krishna) | Midazolam 0.1 mg/kg IV when needed | NA/NA |
Shawki et al. (2012) | 33.4% | EM polyps 10.8% IUA 3.8% Fibroids 3.8% Endometritis 1.9% Anomalies2 0.9% EM hyperplasia 2.8% | 3.5 mm diameter, 0° view (Versascope, Gynecare, Ethicon, Sommerville, NJ, USA) | None | NA/NA |
Elsetohy et al. (2014) | 43.3% | EM polyps 13.4% Anomalies2 10.4% Fibroids 7.2% IUA 6.2% | 4.3 mm diameter with 5 Fr working channel, 30° view | NA | Early to mid-follicular phase/Start ICSI cycle within 3 months |
Alleyassin et al. (2015) | 22.7% | Anomalies2 13.6% EM polyps 5.4% IUA 0.9% EM hyperplasia 1.8% | 4 mm diameter rigid hysteroscopy, 30°view | None | Mid-luteal phase/Start ICSI next cycle |
Smit et al. (2016) | 13.0% | EM polyps 9.5% Anomalies2 2.3% Fibroids 1.3% IUA 1% | 5 mm diameter with 5 Fr working channel, 30° view | Paracervical block when needed | Early to mid-follicular phase/Start ICSI cycle within 3 months |
El-Toukhy et al. (2016) | 26.0% | Anomalies2 8% Cx stenosis 4% EM polyps 3%3 IUA 0.9% | 2.9 mm diameter rigid hysteroscopy, 30° view (TROPHYscope; Karl Storz, Tuttlingen) | None | Follicular phase/Started IVF in the following month |
Abid et al. (2021) | 31.0% | IUA 13% EM polyps 8.3% Endometritis 8.3% Fibroids 1.2% | 2.9Â mm diameter (26,120 BA STORZ) | Analgesic treatment level 2 (Paracetamol/Codeine 500Â mg/30Â mg) 1Â h before the procedure | Mid-follicular phase/Started IVF in the following month |
Pounikar et al. (2022) | 40.0% | NA | NA | NA | NA/Started IVF in the following month |
Ghasemi et al. (2022) | NA | NA | 5 Fr working channel, 30° view4 | NA | Early to mid-follicular phase/NA |