1Eddy Hartono
1Department of Obstetric and Gynecology, Faculty of medicine, Hasanuddin University. Makassar. South Sulawesi Elected International Society for Gynecological Endoscopy (ISGE),Board Member 2017-2021
ABSTRACT
Indonesia is the fourth most populous country in the world with population in 2017 reached 261 million people. Perfitri reported that in 2012, blockage was the main common cause of infertility, regarding identified for 12.5 percent of women who underwent IVF. Most of causes of infertility are such as blockage, ovulatory dysfunction, diminished ovarian reserve, cervical abnormalities and endometriosis. A 44 years old woman Para 1 Abortus 1, came to us after several FSH shots and failed IUI procedures. Then we performed hysteroscopy to diagnose and treat the patient. The hysteroscope 3.5 mm sheath couldn't be inserted into internal cervical os. Then we tried with the smaller sonde and we couldn't managed to penetrate the uterine cervix. At the next step, we did adhesiolysis by sharp using scissors. After the hysteroscope entered the cervix lumen, the cervical polyps were appeared and well visualized. After we did polypectomy, adhesiolysis and dissection by scissors, the hysteroscope smoothly could be inserted through the cervix, relayed visualization for next investigation to whole area. Diagnostic hysteroscopy helps in identifying the hidden etiology of infertility so that a therapeutic intervention can be initiated, by avoiding unnecessary empiric medical treatment that costly, considering that fertility treatments are generally not covered by health insurance. Check before receive the "cheque".
KEY-WORDSCervical Stenosis, Histeroscopy Procedure, Infertility
REFERENCES
I. Barbieri RL, Callery M, Perez SE. Directionality of menstrual flow: cervical os diameter as a determinant of retrograde menstruation. Fertil Steril 1992;57:727–30.
II. Malamoni Dutta,K L Talukdar. A histological study of uterus in reproductive and postmenopausal women. National Journal of Clinical Anatomy Vol. - 4 (1) Pg. 17- 25 2015.
III. Valle R, Sankpal R, Marlow JL, Cohen L (2002) Cervical Stenosis: A Challenging Clinical Entity. Journal of Gynecologic Surgery 18(4): 129-143. 2002.
IV. Caceres A, Jackson T. Recurrent Hematometra Secondary to Cervical Stenosis Treated with Placement of an Intrauterine Device, Abstract 530. The Journal of Minimally Invasive Gynecology 19(6): S160–S161. 2012.
V. FaridehMarmazi et al. Association between internal cervical os stenosis and other female infertility risk factors. Middle East Fertility Society Journal. 2018
VI. S. Gene McNeeley. Cervical Stenosis. MSD Manual Noncancerous Gynecologic Abnormalities. 2018
VII. Nilufar Sultana 1, Kohinoor Begum. Cervical Factors in Infertility. Department of Obstetrics and Gynaecology, SSMC and Milford Hospital. 2011
VIII. Anita Kharat et al. Cervical Stenosis: A Rare Complication of Cesarean Section. Indian Journal of Clinical Practice, Vol. 24, No. 11, l 2014.
IX. C.E. Berzolla, P.F. Schnatz, D.M. O'Sullivan, R. Bansal, S. Mandavilli, J.I.SoroskyDysplasia and malignancy in endocervical polyps J. WomensHealth , pp. 1317-1321. 2007.
X. P.M. Casey, M.E. Long, M.L. Marnach. Abnormal cervical appearance: What to do, when to worry? Mayo Clin. Proc., 86 (2), pp. 147-150. 2011
XI. Divyesh N. Panchal, Role of diagnostic laparoscopy in infertility, International Journal of Reproduction, Contraception, Obstetrics and Gynecology Panchal DN et al. Int J Reprod Contracept Obstet Gynecol. 2016
XII. Suen MWH, et al. Hysteroscopic management of a stenotic cervix.
US National Library of Medicine National Institutes of Health. NCBI. 2017
XIII. Tor € ok P, Major T. Accuracy of assessment of tubal patency with selective € pertubation at office hysteroscopy compared with laparoscopy in infertile women. J Minim Invasive Gynecol;19:627–30. 2012
XIV. John C. Petrozza, M.D. Another benefit of the office hysteroscope. American Society Reproductive Medicine. Massachusetts. 2017
XV. Z. Diken,a A. Rodriguez,b Y. Lin,a J. Crochet.c a Timing of Embrio Transfer After Hysteroscopic Polypectomy Does Not Effect Pregnancy Rates. American Society Reproductive Medicine Center of Reproductive Medicine, Webster, 2016.
VOLUME 02 ISSUE 01 OCTOBER 2019
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