DIAGNOSTIC HYSTEROSCOPY AS A PRIMARY TOOL IN BASIC INFERTILITY WORKUP.

Objective:- To assess the value of diagnostic hysteroscopy in basic workup of infertility. Patients and Methods:- This is across sectional study including 100 infertile patients referred to the outpatient clinic in Banha university hospital between January 2015 and September 2015. their ages range from (18_40)years ,They were recruited based on their complaint from infertility either primary or secondary.Patients underwent a diagnostic hysteroscopy. Results:- Abnormal hysteroscopic ?ndings were observed in 36 % of infertile cases. Uterine polyps were the most common hysteroscopic abnormalities reported in 12%. Intrauterine adhesions8%, submucus myoma 6%, congenital uterine malformations 6%,chronic endometritis 4% .Postoperative symptoms (nausea – mild lower abdominal pain) were recorded in 32 % of patients that resolved by antiemetic and analgesic .All patients discharched from hospital after 6 hours. No cases postoperative pelvic infection was recorded. Conclusion: - Routine diagnostic hysteroscopy should be part of an infertility workup in primary and secondary infertility.