Role of Office Hysteroscopy in Cases of Secondary Infertility After Cesarean Section
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- percentage of patients with abnormal scar findings in hysteroscopy
研究概览
简要总结
All women with history of secondary infertility after caesarean section will be subjected to office hysteroscopy according to Royal college of obstetrics and gynecology guidelines to diagnose any subtle uterine abnormalities not detected by conventional means.
Hysteroscopic examination will be done during the proliferation phase of the menstrual cycle.
The hysteroscopic evaluation will include assessment of the cervical canal, intrauterine lesions, the endometrium and the uterotubal junction. .
If hysteroscopy reveal a lesion, its type, size, location will be recorded. Transvaginal ultrasound will be done after the procedure to detect fluid in the douglas pouch to confirm patent tubes.
Asses the uterine scar in details.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Patients with secondary infertility more than 2 years after cesarean section.
- •Normal semen analysis
- •Normal hysterosalpingography or laparoscopy within 1year
- •Evidence of ovulation by transvaginal ultrasound
排除标准
- •• Cases with abnormal semen parameters.
- •Patients with abnormal hysterosalpingography.
- •Patients with anovulation.
- •Hormonal disturbances; high level of prolactin, thyroid hormone disturbances, very high or very low follicular stimulating hormone and luteinizing hormone
- •Patients known to be epileptic or with history of fits.
- •Cardiac patients ( valve diseases, ischemic, arrhythmic)
结局指标
主要结局
percentage of patients with abnormal scar findings in hysteroscopy
时间窗: 1 year
color of the scar and presence of niche
次要结局
未报告次要终点
研究者
Ayman Ahmad Abdelraof Ahmad Askar
principal investigator
Assiut University