Lots of IVF clinics routinely do a hysteroscopy prior to IVF. We do not, because we think it's a waste of time and money. We can get exactly the same information by doing a vaginal ultrasound scan to evaluate the uterine cavity. Why do surgery when a non-invasive test gives us the information we need ?
A large multicentre trial has finally resolved this long-running controversy in our favour ! For the TROPHY study, whose results are reported today at the 30th Annual Meeting of ESHRE in Munich by Dr Tarek El-Toukhy from Guy's and St Thomas's Hospital, London, has now found no significant difference in IVF success rates between those who had outpatient hysteroscopy performed before their IVF and those who didn't. "Based on these findings, outpatient hysteroscopy before IVF doesn't significantly improve IVF results and cannot be considered essential for women with recurrent IVF failure," said Dr El-Toukhy.