Office Hysteroscopy in Secondary Infertility After Cesarean Section

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.

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Key information

Conditions

Infertility, Female Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Genital Diseases Genital Diseases, Female Infertility Urogenital Diseases

Age range

18 year–45 year

Sex eligibility

Female

Study type

Observational

Primary location

Women Health Hospital

Asyut, 71511, Egypt

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

• 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)

Treatment and study plan

Office hysteroscopy

Procedure

A speculum is first inserted into the vagina. The hysteroscope is then inserted and gently moved through the cervix into uterus. Carbon dioxide gas or a fluid, such as saline will be put through the hysteroscope into uterus to expand it. The gas or fluid helps see the lining more clearly. The amount of fluid used is carefully checked throughout the procedure

Primary outcomes

percentage of patients with abnormal scar findings in hysteroscopy

Time frame: 1 year

color of the scar and presence of niche

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

Role of Office Hysteroscopy in Cases of Secondary Infertility After Cesarean Section

Important dates

Study start: 2018
Primary completion: 2019
Study completion: 2019
First posted: May 25, 2017
Registry last updated: May 12, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed