Office hysteroscopy is a cornerstone in the diagnostic evaluation of infertile women, enabling direct visualization of the uterine cavity for identifying intrauterine pathology. The vaginoscopic ("no-touch") approach, which eliminates the use of a speculum and tenaculum, is increasingly adopted due to improved tolerability, higher success rates, and reduced pain compared to conventional methods.
o Women aged 18-40 years.
Diagnosis of primary infertility (failure to conceive after ≥12 months of unprotected intercourse).
Indication for diagnostic office hysteroscopy.
Regular menstrual cycles.
o Secondary infertility.
Known pelvic infection, cervicitis, or vaginitis.
Use of analgesics within 8 hours prior to procedure.
Cervical stenosis, prior failed hysteroscopy, or known uterine anomaly.
Cairo University
Lead sponsor
Aljazeera Hospital
Collaborator