Diagnostic Accuracy of 3D-transvaginal Ultrasound Compared to Hysteroscopy in Detecting Uterine Abnormalities Before ICSI

Abstract

The uterus has an essential role in sperm migration, embryo implantation, and fetal nourishment. Congenital uterine anomalies, acquired uterine lesions, and systemic diseases may affect such uterine functions precluding successful pregnancy. Almost one quarter of women with congenital or acquired structural uterine abnormalities experience difficulty with conception, accounting for up to 10% of infertility cases. Uterine causes of infertility include uterine fibroids, endometrial polyps, congenital uterine anomalies, which include septate uterus, bicornuate uterus, unicornuate uterus and uterus didelphys, intrauterine adhesions and endometrial receptivity.