Academic Editor: Raffaele Tinelli
Background: To test the accuracy of office hysteroscopy in the
diagnosis of chronic endometritis (CE) as compared to histopathological
diagnosis. Methods: This prospective cohort study was conducted in a
private hospital from July 2018 to January 2020. 220 infertile women were
scheduled for first attempt of intracytoplasmic sperm injection (ICSI). Patients
ranging in age from 20–40 with history of primary infertility scheduled for ICSI
for the first time were included, while patients with chronic diseases, severe
vaginal bleeding, previous failed ICSI, polycystic ovary syndrome (PCOS), or
endometriosis were excluded. All patients received postmenstrual office
hysteroscopy to rule out the presence of CE; at the same setting, endometrial
biopsy was taken and sent for histopathological examination. Results:
174 cases (79.1%) were diagnosed as CE at hysteroscopy, while 162 (73.6%) cases
were positive at histopathology. 99.4% of the cases presented with hyperaemia,
followed by oedema in 74.7% and micro-polypi in 58.6% of cases with CE. There
was a significant difference between the hysteroscopic and the histopathologic
diagnosis of CE (p