Résumé
Background: Evaluating the uterine cavity is a basic step in investigating infertile women. Both the condition of the endometrium as well as the uterine cavity are thought to be important factors in determining receptivity for embryo implantation
Aim of the Work: In our study we conducted a trial to assess the effect of endometrial injury by hysteroscopy in the outcome of intrauterine insemination [IUI]
Patients and Methods: This interventional prospective randomized controlled clinical trial was conducted at ElSayed Galal University Hospital during the period from January 2016 to October 2017. The study comprised 200 of women diagnosed as unexplained infertility or with mild male factor
Results: The biochemical and clinical pregnancy rates were higher in women of group I when compared to women of group II [28 [28%] vs. 8 [8%], p=0.012 and 25 [25%] vs. 4 [4%], p= 0.034, respectively
Conclusion: Performing endometrial scratch using hysteroscopy in the preceding cycle of intra uterine insemination is a simple cheap maneuver that improves the chemical and clinical pregnancy outcome