Hysteroscopic findings in patients with infertility and abnormal uterine bleeding : unveiling the prevalence of subtle uterine lesions

Abstract

Objective. The aim of this study was to determine hysteroscopic findings and the prevalence of both major and subtle uterine lesions in infertility patients who presented with and without abnormal uterine bleeding (AUB).

Conclusions. Hysteroscopy is an essential tool for diagnosing both major and subtle intrauterine pathologies, especially in infertile women. Our findings suggest that the prevalence of abnormal findings is higher than previously anticipated, particularly when subtle lesions are considered, and AUB is a concomitant symptom. While the diagnosis and treatment of major intrauterine lesions are clearly important, the relevance of subtle lesions remains controversial. However, our data suggests that subtle lesions are present in a significant proportion of infertile patients and are associated with adenomyosis and chronic endometritis, both of which have potential implications for reproductive outcomes.