Cochrane · systematic review · CD009461

Hysteroscopy for treating subfertility associated with suspected major uterine cavity abnormalities

Bosteels, J, van Wessel, S, Weyers, S, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Gynaecology and Fertility3 versionsAMSTAR 2: not assessed

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.

Questions

current version

GRADE rated

No studies

Included studies

No studies 5 · 62.5%Ungraded 0 · 0%Very low 2 · 25%Low 1 · 12.5%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Operative hysteroscopy versus control in women with otherwise unexplained subfertility and suspected major uterine cavity abnormalities

Population: women with submucous fibroids and otherwise unexplained subfertility

4 questions

Outcome	Effect	Evidence	Status / GRADE
Live birth Operative hysteroscopy vs control	no estimate extracted	NR	No studies
Adverse events: hysteroscopy complications Operative hysteroscopy vs control	no estimate extracted	NR	No studies
Clinical pregnancya Ultrasound 12 months Operative hysteroscopy vs control	OR 2.44 [0.97, 6.17]	1 study · 94 participants	Very low Downgraded: risk of bias, imprecision
Adverse events: miscarriaged Ultrasound 12 months Operative hysteroscopy vs control	OR 1.54 [0.47, 5]	1 study · 94 participants	Very low Downgraded: risk of bias, imprecision

Operative hysteroscopy versus control in women undergoing medically assisted reproduction with suspected major uterine cavity abnormalities

Population: subfertile women with endometrial polyps diagnosed by ultrasonography prior to treatment with gonadotropin and intrauterine insemination

4 questions

Outcome	Effect	Evidence	Status / GRADE
Live birth Operative hysteroscopy vs control	no estimate extracted	NR	No studies
Adverse events: hysteroscopy complications Operative hysteroscopy vs control	no estimate extracted	NR	No studies
Clinical pregnancya Ultrasound 4 intrauterine insemination cycles Operative hysteroscopy vs control	OR 4.41 [2.45, 7.96]	1 study · 204 participants	Low Downgraded: risk of bias, imprecision
Adverse events: miscarriage Operative hysteroscopy vs control	no estimate extracted	NR	No studies