Aghahosseini et al. [21] (2012) |
Iran |
Women undergoing IVF who have had two or more implantation failures with unsuspected or no uterine cavity abnormalities, normal HSG, and no history of hysteroscopy in the last 2 months |
Hysteroscopy prior to a subsequent IVF attempt |
Immediate IVF without prior hysteroscopy |
CPR |
LBR |
Casini et al. [20] (2006) |
Italy |
Women affected by uterine fibroids |
Hysteroscopic surgery to remove the fibroids |
No treatment. Patients were suggested to immediately start having regular fertility-oriented coitus |
CPR |
PLR |
Demirol et al. [22] (2004) |
Turkey |
Women with primary infertility and two or more failed IVF cycles with no known intracavitary disease, a normal HSG, and controlled ovarian stimulation for IVF abnormalities |
Office hysteroscopic evaluation of the uterine cavity and cervix before commencing treatment |
No office hysteroscopic evaluation of the uterine cavity and cervix before commencing controlled ovarian stimulation for IVF treatment |
CPR |
PLR |
Elsetohy et al. [11] (2015) |
Egypt |
Women scheduled for first IVF treatment cycle with no known abnormality, apart from intramural myomas without uterine cavity deformity |
Hysteroscopic examination in the early-mid-follicular phase of a menstrual cycle. If any intrauterine abnormality was detected, therapeutic hysteroscopy was performed in the same hysteroscopy session or scheduled for an operative procedure later. Subsequent ICSI |
IVF without hysteroscopy |
CPR |
El-Nashar. [23] (2011) |
Egypt |
Women with unexplained infertility after carrying out initial investigations for her and her partner, scheduled to start their first IVF cycle |
Hysteroscopy with directed biopsy and correction of any intrauterine abnormalities Exact timing of hysteroscopy before ICSI is not specified |
ICSI cycle without undergoing a hysteroscopy |
CPR |
El-Toukhy et al. [24] (2016) |
UK, Italy, Belgium, Czech Rep |
Infertile women younger than 38, planning IVF |
Outpatient hysteroscopy without sedation before starting IVF |
IVF without prior hysteroscopy |
CPR |
LBR |
Perez-Medina et al. [25] (2005) |
Spain |
Infertile women with at least 24 months of infertility, with a sonographic diagnosis of endometrial polyps and planning IUI |
Hysteroscopic polypectomy Women were scheduled to receive four cycles of IUI; the first IUI was planned for three cycles after hysteroscopy |
Endometrial polyps were not extracted during diagnostic hysteroscopy and polyp biopsy was performed |
CPR |
Rama Raju et al. [12] (2006) |
India |
Patients with two or more failed IVF cycles with primary infertility or male factor infertility with no known uterine cavity abnormalities |
Office hysteroscopy prior to a subsequent IVF attempt |
Immediate IVF without prior hysteroscopy |
CPR |
LBR |
Shawki et al. [13] (2012) |
Egypt |
Women suffering from primary infertility, candidate for first IVF or with one or more failed IVF. |
IVF after performing office hysteroscopy. Abnormal findings were recorded and treated |
IVF without office hysteroscopy |
CPR |
LBR |
Ghasemi et al. [26] (2022) |
Iran |
Patients with primary infertility without prior hysteroscopic examination or previous IVF, normal transvaginal sonography in the last month, and a normal HSG (in the past 6–24 months), who were scheduled for the first IVF cycle |
Hysteroscopy and irrigation of uterine cavity with a large amount of saline solution (200–300 mL) followed by IVF |
IVF without office hysteroscopy |
CPR |
LBR |
Ben Abid et al. [27] (2021) |
Tunisia |
Infertile women planning their first IVF cycle. All patients had a normal uterine cavity based on transvaginal sonography and HSG |
Diagnostic hysteroscopy followed by IVF |
IVF without hysteroscopy |
CPR |
LBR |
PLR |
Gurgan et al. [28] (2019) |
Turkey |
Women <40 years of age with FSH ≤15 IU/mL who met the recurrent implantation failure definition |
Endometrial scoring through office hysteroscopy followed by IVF |
IVF without hysteroscopy |
CPR |
LBR |
PLR |
Smit et al. [30] (2016) |
The Netherlands |
Infertile women scheduled for IVF with a normal transvaginal ultrasound |
Diagnostic hysteroscopy with see and treat |
Immediate IVF without hysteroscopy |
LBR |
CPR |
PLR |
Moramezi et al. [31] (2012) |
Iran |
Women planning IUI cycles |
Office hysteroscopy |
No hysteroscopy |
CPR |
PLR |
Berntsen et al. [32] (2020) |
Denmark |
Women planning IVF; one or more previously failed IVF cycle(s) |
Endometrial scratching performed by office hysteroscopy in the cycle preceding the IVF/ICSI cycle |
Standard fertility treatment in the clinic without office hysteroscopy |
CPR |
LBR |