Endometrial cancer in a woman undergoing hysteroscopy for recurrent IVF failure

Categories: Articles&Publications.

Pietro Gambadauro & Johannes Gudmundsson

Gynecol Surg 2017;14:4. DOI: 10.1186/s10397-017-1009-1

Background: Hysteroscopy, despite being the undisputed gold standard for the examination of the uterine cavity, is controversial as a routine procedure in infertile women. However, benign intrauterine conditions are common in women suffering repeated in vitro fertilization (IVF) failure, and growing evidence suggests a unique diagnostic and therapeutic role for hysteroscopy. Endometrial malignancy, on the contrary, is unreported by large published series of women with repeated IVF failures undergoing hysteroscopy, and its impact on fertility, for obvious reasons, has not been studied.
Results: An unsuspected endometrial cancer was diagnosed in an asymptomatic 38-year-old woman undergoing hysteroscopy because of several repeated failures of in vitro fertilization and embryo transfer.
Conclusions: Endometrial cancer can be found at hysteroscopy in young women with repeated IVF failures. The possibility of repeatedly unsuccessful fertility treatments should be taken into account when counseling infertile women about conservative treatment of endometrial cancer.
Keywords: Embryo transfer Endometrial cancer Hysteroscopy Implantation failure In vitro fertilization

© The Author(s) 2017

Open Access
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Full text available at:
Gynecological Surgery: Endometrial cancer in a woman undergoing hysteroscopy for recurrent IVF failure.