Hysteroscopy findings in cases diagnosed histopathologically with chronic endometritis

INTRODUCTION: Chronic endometritis (CE) is a persistent inflammation of the endometrium, which can lead to various clinical conditions. Although CE can be diagnosed histopathologically, edema, focal or diffuse hyperemia, and endometrial micropolyps seen during hysteroscopy have been associated with CE. In this study, we planned to retrospectively analyze the hysteroscopic findings of our patients who were diagnosed with histopathologically CE in our clinic.
METHODS: The study included cases reported as CE as a result of endometrial biopsy performed at the end of a hysteroscopy surgical procedure applied for any reason in our clinic. The hysteroscopy findings of the cases were retrospectively investigated and analyzed.
RESULTS: In the 29 cases evaluated in the study, the most frequent hysteroscopy indication was repeated failure of implantation at the rate of 37.9%, followed by a history of repeated pregnancy loss at 34.4%. The most frequently seen hysteroscopy finding was endometrial hyperemia (27.5%) and in 9 cases, the hysteroscopy appearance was normal.
DISCUSSION AND CONCLUSION: The visualization during hysteroscopy of the presence of lesions with central white points accompanying stromal edema, endometrial hyperemia, micropolyps, and diffuse hyperemia should suggest a diagnosis of chronic endometritis.