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IFCE-Intrauterine Fiberscope & Curettage of the Endometrium

 

IFCE Technique

 

  Presence of Endometrial Polyps

When using a hysteroscope for patients with repeat implantation failure, you will find a high rate of polyps.

 

At Oak Clinic, the endometrial polyp is categorized into 2 groups by:

  1. Previous exams with hysteroscope, sonohysterogram, ultrasound and uterotubal contrasting, the endometrial macro polyps that exist can be estimated.
  2. Endometrial micro polyps small in size can be for the first time discovered by careful observation using a hysteroscope.

These 2 types of polyps have their own treatment;

  • Macro polyp → polyp resection
  • Micro polyp → often multiple, they are too small to have a resection. there are many complications of chronic endometritis described above (about 60%, which will be described later), and effective antibiotic treatment in such cases
  • No polyps group → endometrial biopsy

Embryo transfer results after each treatment has improved, macro polyp, micro polyps, and reported to be similar to the non-polyp group (Kitaya K, et al., Human Reproduction, in press, 2012; doi: 10.1093 ⁄ humrep ⁄ des323).

In other words, it is important to select a course of treatment by the type when it comes to the presence of polyps.

 

 

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