A Review of hysteroscopy in a private hospital in Jos, Nigeria

Abstract

Background: Examination of the uterine cavity is an imperative gynaecology for the detection and treatment of intrauterine abnormalities. Hysteroscopy is considered to be the gold standard for this purpose Identification and subsequent treatment of intrauterine leisons may improve pregnancy rates in Invitro fertilization(IVF).
Methods: Medical records of patients who had hysteroscopy between May 2016 and April 2017 at Kauna Specialist Hospital were analysed. Indications for hysteroscopy, findings and complications were noted.
Results: A total of 82 hysteroscopies were performed during the period under review. The commonest indication was preparation for IVF in infertile patients (58.1%). Other indications included infertility (27.2%), menorrhagia (9.9%) and hypomenorrhoea (2.4%). Intrauterine abnormalities were detected in 59.3% Patients. Intrauterine adhesions were found in 30.9% of the patients . Endometrial polyps (13.7%), fibroids(4.9%) and irregular endometrial lining(4.9%) were also observed. A large proportion (42.7%) of patients who had recurrent IVF failure had intrauterine abnormalities.
Conclusion: Hysteroscopy is an invaluable tool in the detection and treatment of intrauterine leisons. Its wider use is advocated in gynaecological practice in Nigeria.

Key words: Hysteroscopy; Infertility; In Vitro fertilization, intrauterine abnormalities