Hysteroscopic detection and treatment of adhesions at the tubal ostium/uterine junction in infertile patients.

In conclusion, we agree that most of the abnormalities previously reported on hysteroscopy are of little clinical importance and that previously undetected abnormalities of clinical significance are rare in the patient who has undergone HSG with fluoroscopy. However, as indicated by these three cases, small, strategically located lesions may be missed by HSG and may be a cause of infertility. We therefore think that, given the low complication rate of hysteroscopy, its high degree of safety, minimal time requirement, and negligible effect on postoperative course, hysteroscopy should be performed on most, if not all, infertile patients undergoing diagnostic laparoscopy.