Fertiloscopy improves in vitro fertilization for women with repeated implantation failure

Objective. - To assess the effects of fertiloscopy procedure on the outcomes of subsequent in vitro fertilization cycles in patients with repeated implantation failure (RIF). Methods. - A retrospective study was performed on 50 patients underwent fertiloscopy and 41 controls with RIF. Pelvic and intrauterine pathologies related to infertility, clinical pregnancy rate (CPR) and ongoing pregnancy rate (OPR) of subsequent IVF cycles were assessed. Results. - Twenty-six out of 50 patients (52%) had abnormal fertiloscopic findings. The women who underwent fertiloscopy exhibited significantly increased CPRs (46.8% vs. 24.4%) and OPRs (36.2% vs. 12.2%) compared with the control subjects who did not undergo fertiloscopy. Conclusion. - The incidence of pathologic findings on fertiloscopy is high among patients with RIF. Fertiloscopy is valuable in subsequent cycles among patients with RIF. (C) 2017 Published by Elsevier Masson SAS.