Value of Routine Hysteroscopy Prior to IVF/ICSI Cycles

In the current study the investigators hypothesize that Routine Hysteroscopy prior to IVF/ICSI cycle increases the clinical pregnancy rate.

A randomized controlled study involving 300 patients with recurrent implantation failure

Inclusion Criteria:

1. Patient's age ranged from 20-40 years.
2. Normal appearance of the uterine cavity on hysterosalpingography.
3. Patients prepared for IVF/ICSI cycle.

Exclusion Criteria:

1. Patients who have any contraindications for hysteroscopy. (Menstruation, pregnancy, severe vaginitis or cervicitis, endometrial infection and history of Pelvic Inflammatory Diseases).
2. Patients with uterine cavity pathology previously known to the examiner.
3. Patients with previous uterine surgery such as myomectomy.
4. Patients with abnormal HSG.