Hysteroscopy in the infertile woman.

In summary, hysteroscopy is a useful diagnostic method in the evaluation of the uterine cavity. Hysteroscopy can localize the uterine lesions and determine their extent with more accuracy than the hysterosalpingogram. However, the meaning of some small lesions and their relation to infertility remains to be determined. Hysterosalpingography should be the first step in the evaluation of the uterine cavity and the tuboperitoneal factor in an infertile woman. Hysteroscopy should be combined with laparoscopy when any lesion is suspected on the hysterogram or when no other cause of infertility has been found. The diagnosis of uterine lesions can be followed by surgical treatment under laparoscopic guidance.