Advantages and Disadvantages of Hysteroscopy Before IVF – Hysteroscopy Before IVF

Advantages and disadvantages of hysteroscopy before IVF

It is clear that many couples have achieved happiness with the help of In Vitro Fertilization (IVF). It also has a higher success rate than other assisted reproductive technologies. In IVF, the process of fertilization is done in the lab and the embryo is inserted directly into the uterus of the woman. The best embryos are selected, which increases the woman’s chances of getting pregnant. Even after all these efforts, many times this process fails.

The uterus plays an important role in the success of the IVF process. If there is any kind of problem inside the uterus, then the chances of IVF being successful are reduced. This is why some doctors recommend hysteroscopy before IVF treatment.

Hysteroscopy What is it?

Uterine problems can be diagnosed and treated with the help of hysteroscopy. It is a flexible and thin instrument that is inserted through the vagina into the uterus. It has a camera which is connected to the computer screen. Doctors diagnose and treat uterine problems while watching live on the screen.

Read: How much does IVF cost?

This procedure is usually done when a woman is struggling with heavy or irregular menstrual cycles. This test can also be done to find out the cause of infertility.

Why is hysteroscopy needed before IVF?

There are two main reasons for the failure of IVF – poor quality of the embryo and a defect in the uterus of the woman. Most clinics continue to perform hysteroscopy after the IVF procedure has been ineffective. The purpose behind this is to diagnose and remove the scar tissue of the uterus.

Hysteroscopy proved helpful after a failed IVF procedure. Seeing this, most of the clinics started doing hysteroscopy test before IVF. It has been recognized that if polyps or scar tissue is removed before the start of IVF, the procedure is more likely to be successful.

Read – What to do if IVF fails?

The European Society of Human Reproduction and Embryology (ESHRE) did a study on this. The study involved 700 women who had been unable to conceive once after IVF. All these women were below 38 years of age.

The findings found that of the women who underwent hysteroscopy, 31 percent of the women gave birth. The female group that did not have this procedure had a 29 percent birth rate. The study revealed that there was no significant difference in the birth rates of the two groups. It does increase a woman’s chances of getting pregnant but is unable to increase the fertility rate.

Advantages and disadvantages of hysteroscopy before ivf


Diagnostic hysteroscopy before an IVF cycle can have many benefits. With its help, a clear information can be obtained about the shape and size of the intrauterine cavity.

With the help of this procedure, the factors that cause female infertility and recurrent miscarriages can be detected. Hysteroscopy can be both diagnostic and therapeutic. Uterine fibroids and polyps can be removed with the help of medical hysteroscopy. It increases the chances of a woman becoming pregnant. Because of these benefits gynecologists recommend hysteroscopy.


Hysteroscopy is an invasive procedure, which may also have some disadvantages. The medical procedure of hysteroscopy has more disadvantages than the diagnostic procedure. These include damage to the bladder and digestive system, infection, bleeding, perforation of the uterus, reaction to anesthesia, etc.

After diagnostic hysteroscopy, there is a 0.1% chance that the woman will have a hole in her uterus. This increases to 1% in clinical hysteroscopy. If such side effects occur then the IVF cycle may be delayed.

Read- Do’s and Don’ts in IVF?

Hysteroscopy before IVF or not?

Hysteroscopy is considered a good step before IVF in the following situations:

  • If the woman is suffering from repeated miscarriages. Pregnancy is not possible after getting pregnant.
  • There is a defect in the female reproductive tract
  • There are polyps or fibroids within the uterus, which are causing problems with conception.

If the woman feels the above-mentioned problems with herself, then a hysteroscopy can be a good step as per the advice of the doctor. This can better diagnose and treat the problem, which can increase the chances of IVF being successful.

Read: What is the success rate of IVF in Pristine Care Clinic?

Women who are going through an IVF cycle for the first time can replace hysteroscopy with hysterosalpingography (HSG – a type of X-ray that detects abnormalities of the uterus and fallopian tubes) or 3D ultrasonography. Hysterosalpingography and ultrasonography are non-invasive tests that can be performed in place of endoscopy. If any specific complication is found after the test, then the doctor may recommend hysteroscopy for treatment.


It is not always advisable to have hysteroscopy before in vitro fertilization. HSG or ultrasonography may be done as a preliminary test. These tests are able to give you enough information about the uterus. If there is a diagnosis of a condition within the uterus that needs treatment, your doctor may recommend a hysteroscopy.

If you have any other query related to this in your mind then you can give us a call. We have fertility clinics in over 30 cities where the best fertility doctors in the city diagnose and treat fertility issues.

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