Diagnostic office hysteroscopy in a tertiary care centre: a retrospective analysis

N. Mohna Priya; Prasad R. Lele; Bikram Bhardwaj; Nikita Naredi; Gunjan Rai

doi:10.18203/2320-1770.ijrcog20250191

Authors

N. Mohna Priya Department of Obstetrics and Gynecology, Army Hospital Research and Referral, New Delhi, India
Prasad R. Lele Department of Obstetrics and Gynecology, Army Hospital Research and Referral, New Delhi, India
Bikram Bhardwaj Department of Obstetrics and Gynecology, Army Hospital Research and Referral, New Delhi, India
Nikita Naredi Department of Obstetrics and Gynecology, Army Hospital Research and Referral, New Delhi, India
Gunjan Rai Department of Obstetrics and Gynecology, Army Hospital Research and Referral, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20250191

Keywords:

Efficacy, Infertility, Intrauterine pathology, Office hysteroscope

Abstract

Background: Office hysteroscopy is the standard technique for evaluation of intrauterine pathologies in abnormal uterine bleeding, infertility, recurrent pregnancy loss, secondary amenorrhea, post-menopausal bleeding. It is easy to perform, well tolerated by patients and has less complication rates with availability of adequate expertise and equipment. Our aim was to assess the role of diagnostic office hysteroscopy in gynaecology in a referral centre.

Methods: A retrospective descriptive study based on hospital records conducted in a government tertiary care centre. Data collected from hospital registers were analysed for common indications, pathology, complications, safety and efficacy of the procedure.

Results: Diagnostic office hysteroscopy done on 1624 patients from January 2018 to January 2023 were analysed. Most common indication was infertility. Common pathology seen were intrauterine adhesions, mullerian anomalies and endometrial polyps. Procedure was successful in 94.4% of patients. No major complication observed in any patient.

Conclusions: Our findings show that office hysteroscopy is effective, feasible, convenient and safe; in diagnosing various intrauterine pathologies and it is well tolerated by patients. There is no requirement for admission or anesthesia.

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