Critical Care Obstetrics and Gynecology 2015 Vol. 1 No. 1: 8 1 © Copyright iMedPub |This artcle is available in: htp://obstetrics.imedpub.com/archive.php iMedPub Journals ht tp://www.imedpub.com Research Article http://dx.doi.org/10.4172/ipccog.1000008 Abayomi Ajayi 1 , Oluwafunmilola Biobaku 1 , Victor Ajayi 1 , Ifeoluwa Oyetunji 1 , Happiness Aikhuele 1 and Bamgboye M Afolabi 2 1 Nordica Fertlity Center, 106 Norman Williams Street, Ikoyi, Lagos, Nigeria 2 Health, Environment and Development Foundaton, 34 Montgomery Road, Yaba, Lagos, Nigeria Corresponding author: Bamgboye Afolabi Health, Environment and Development Foundaton, 34 Montgomery Road, Yaba, Lagos, Nigeria.  bmafolabi@heendef.org Tel: +234803 049 0729 Detecton of Intrauterine Lesions by Hysteroscopy among Women with Fertlity Challenges in an In-Vitro Fertlizaton Center in Lagos, Nigeria Abstract Background: Hysteroscopy is an essental tool of choice to make intrauterine abnormalites (IUA) visible and to allow for appropriate and adequate correctons. IUA are considered to be detrimental to the chances of concepton afer in-vitro fertlizaton. Objectve: To determine the frequency and patern of IUA identfed at hysteroscopy among infertle women (IW) atending Nordica Fertlity Centre (NFC) in Lagos, Nigeria. Methods: This is a retrospectve study of 1115 consecutve IW that underwent diagnostc or therapeutc hysteroscopy at the endoscopy arm of NFC between June 2005 and November 2014. Age (years) was categorized into <30, 30-34, 35- 39, 40-44, 45-49 and ≥50 and Body Mass Index (BMI kg/m 2 ) into underweight (<18.5), normal (18.5-24.9), overweight (25.0-29.9), obese (≥30.0). Analysis was done using STATA 13 and the level of signifcance was set at P<0.05. Results: The means (± SD) of age (years), BMI (Kg/m 2 ) and duraton of infertlity were 39.0 (6.1), 27.7 (4.8) and 7.5 (5.5) respectvely. Three hundred and nineteen (28.6%) and seven hundred and ninety-fve (71.4%) presented with primary and secondary infertlity respectvely. In all, 681 (61.1%) IW had abnormal hysteroscopic fndings consistng of intra-uterine adhesion [IUA] (338, 30.3%), sub-mucous fbroid (173,15.5%), endometrial polyps (146,13.1%), endocervical adhesions (36,3.2%), intra-uterine septum (26,2.3%), endocervical polyps (14,1.3%) and endometrits (2, 0.2%). The prevalence of sub-mucous fbroid (84, 48.6%) and IUA (168,49.7%) were higher among overweight IW Conclusion: Our data are an additonal argument to propose prior intra-uterine evaluaton by hysteroscopy before In-vitro fertlizaton. Our study therefore recommends routne hysteroscopy prior to in-vitro fertlizaton process. Keywords: Hysteroscopy, Infertlity, Intra-uterine adhesions, Fibroids, Nigeria Abbreviatons: AUB: Abnormal uterine bleeding, BMI: Body Mass Index, CS: Caesarian secton, D&C: Dilataton and curetage, WCBA: Women in child-bearing age, SSA: Sub-Saharan Africa, HSG: Hysterosalpingogram, IUA: Intra-uterine adhesions, NFC: Nordica Fertlity Center, IVF: In-vitro fertlizaton, WHO: World health Organizaton Received: November 17, 2015; Accepted: December 21, 2015; Published: December 26, 2015 Introducton Among most women in child-bearing age (WCBA) in sub-Saharan Africa (SSA), having a child is ofen described as “fruit of marriage.” However, it is not in all cases that a woman in child-bearing age is able to conceive and bring that concepton to full term for