Is hysteroscopy required before undergoing in vitro fertilization (IVF)?
Apr 25, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Hysteroscopy is not always required before undergoing in vitro fertilization (IVF). The detailed analysis is as follows: Hysteroscopy is a minimally invasive gynecological diagnostic and therapeutic technique commonly used to evaluate the intrauterine environment. It is often employed in cases of gynecological bleeding disorders and suspected intrauterine abnormalities, such as uneven endometrial echoes shown on ultrasound or suspicion of thin endometrium.
It is usually not mandatory to undergo hysteroscopy before undergoing in vitro fertilization (IVF). The specific analysis is as follows:
Hysteroscopy is a minimally invasive gynecological diagnostic and therapeutic technique commonly used to evaluate the uterine cavity. It is often indicated for gynecological bleeding disorders and intrauterine abnormalities, such as uneven endometrial echoes or suspected thin endometrium seen on ultrasound. If there are suspected uterine cavity abnormalities, hysteroscopy is recommended to prevent potential adverse effects on subsequent IVF procedures—such as ovarian stimulation and embryo transfer—and to reduce the risk of miscarriage after embryo implantation. IVF treatment typically involves high costs, extensive medication for hormonal regulation, and continued drug support after embryo transfer to maintain pregnancy development. However, if no uterine cavity abnormalities are present, hysteroscopy is generally unnecessary.
Before starting IVF, both partners should undergo comprehensive physical examinations. Men should quit smoking and drinking in advance and optimize their overall health. Women should begin taking folic acid orally at least two months prior to prepare for IVF. After embryo transfer, it's also important to maintain healthy lifestyle habits.
